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General NPI Number Information
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NPI Number | 1871983361
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Entity Type | Individual
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Provider Name | MRS. CRYSTAL ALEXANDER
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Gender | Female
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Dates
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Enumeration Date | 02/04/2015
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Last Update Date | 08/29/2020
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Provider Practice Location Address
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Address Line | 8600 OLD GEORGETOWN RD
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City | BETHESDA
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State | MD
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Zip | 20814-1497
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Country | US
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Telephone | 301-896-3775
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Fax |
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Provider Business Mailing Address
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Address Line | 6112 ROSELAND DR
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City | ROCKVILLE
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State | MD
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Zip | 20852-3649
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Country | US
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Telephone | 301-910-6044
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | R182334
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License Number State | MD
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