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General NPI Number Information
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NPI Number | 1962638312
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Entity Type | Organization
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Legal Business Name | ALEX J. MESSINA M D INC
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Dates
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Enumeration Date | 05/29/2009
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Last Update Date | 02/06/2023
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Provider Practice Location Address
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Address Line | 2021 SANTA MONICA BLVD. #101E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2142
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Country | US
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Telephone | 310-453-1103
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Fax | 310-453-9633
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Provider Business Mailing Address
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Address Line | 2021 SANTA MONICA BLVD. #101E
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City | SANTA MONICA
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State | CA
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Zip | 90404-2142
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Country | US
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Telephone | 310-453-1103
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Fax | 310-453-9633
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALEX JOHN MESSINA
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Credential | MD
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Telephone | 310-453-1103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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