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General NPI Number Information
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NPI Number | 1952914996
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Entity Type | Individual
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Provider Name | AERI ALEXANDER PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 1980 CROMPOND RD
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4144
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Country | US
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Telephone | 914-610-9927
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Fax |
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Provider Business Mailing Address
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Address Line | 44 WHITE PLAINS AVE
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City | ELMSFORD
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State | NY
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Zip | 10523-2700
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Country | US
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Telephone | 914-610-9927
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 025150
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 025150
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License Number State | NY
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