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General NPI Number Information
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NPI Number | 1922460526
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Entity Type | Individual
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Provider Name | ALEXIS JELINEK M.D.
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Gender | Female
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Dates
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Enumeration Date | 03/22/2016
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Last Update Date | 07/05/2025
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Provider Practice Location Address
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Address Line | 5301 SW 31ST AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6619
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Country | US
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Telephone | 954-357-5218
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 SW 31ST AVE
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-6619
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Country | US
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Telephone |
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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 | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | ME143318
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ZF0201X
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Taxonomy Name | Forensic Pathology Physician
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License Number | ME143318
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License Number State | FL
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