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General NPI Number Information
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NPI Number | 1881283000
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Entity Type | Individual
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Provider Name | ALEXANDRA JADE PALUMBO MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/12/2021
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 119 FAIRFIELD AVE STE 6
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City | BELLEVUE
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State | KY
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Zip | 41073-1072
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Country | US
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Telephone | 859-547-1634
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Fax |
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Provider Business Mailing Address
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Address Line | 716 SYCAMORE ST UNIT 1004
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City | CINCINNATI
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State | OH
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Zip | 45202-2270
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Country | US
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Telephone | 732-403-4745
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN11009803
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0028052
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3015596
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License Number State | KY
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