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General NPI Number Information
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NPI Number | 1912323700
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Entity Type | Organization
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Legal Business Name | DONALD W ALEXANDER, MD PC
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Dates
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Enumeration Date | 03/17/2014
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Last Update Date | 03/17/2014
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Provider Practice Location Address
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Address Line | 833 CAMPBELL HILL ST NW SUITE 420
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City | MARIETTA
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State | GA
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Zip | 30060-1134
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Country | US
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Telephone | 770-424-1968
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Fax | 770-424-4782
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Provider Business Mailing Address
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Address Line | 833 CAMPBELL HILL ST NW SUITE 420
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City | MARIETTA
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State | GA
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Zip | 30060-1134
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Country | US
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Telephone | 770-424-1968
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Fax | 770-424-4782
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Authorized Official
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Title or Position | OWNER
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Name | DONALD W ALEXANDER
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Credential | MD
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Telephone | 770-424-7968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 21471
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 21471
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License Number State | GA
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