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General NPI Number Information
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NPI Number | 1902164395
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Entity Type | Organization
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Legal Business Name | ALEXANDRA KLIKOFF MD INC, A CALIFORNIA MEDICAL CORPORATION
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Dates
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Enumeration Date | 04/24/2012
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 3275 APTOS RANCHO RD SUITE E
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City | APTOS
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State | CA
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Zip | 95003-3983
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Country | US
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Telephone | 831-688-8266
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Fax | 831-688-0811
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Provider Business Mailing Address
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Address Line | 3275 APTOS RANCHO RD SUITE E
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City | APTOS
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State | CA
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Zip | 95003-3983
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Country | US
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Telephone | 831-688-8266
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Fax | 831-688-0811
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEXANDRA KLIKOFF
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Credential | MD
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Telephone | 831-688-8266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G83647
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License Number State | CA
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