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General NPI Number Information
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NPI Number | 1922627991
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Entity Type | Individual
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Provider Name | ALEXANDRA MCCLENAHAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2020
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 501 S BURMA AVE
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City | GILLETTE
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State | WY
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Zip | 82716-3426
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Country | US
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Telephone | 307-688-3636
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Fax | 307-688-7920
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Provider Business Mailing Address
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Address Line | PO BOX 3011
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City | GILLETTE
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State | WY
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Zip | 82717-3011
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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 | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 17257A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 17257A
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License Number State | WY
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