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General NPI Number Information
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NPI Number | 1902762370
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Entity Type | Individual
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Provider Name | ALEXIS KINGCADE
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Gender | Female
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Dates
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Enumeration Date | 12/30/2025
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 55 PARK AVE
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City | COLLEGEVILLE
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State | PA
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Zip | 19426-2629
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Country | US
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Telephone | 610-409-2604
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Fax |
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Provider Business Mailing Address
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Address Line | 4040 PRESIDENTIAL BLVD APT 3001
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City | PHILADELPHIA
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State | PA
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Zip | 19131-1734
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Country | US
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Telephone | 484-538-0821
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP460070
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License Number State | PA
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