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General NPI Number Information
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NPI Number | 1962858233
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Entity Type | Individual
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Provider Name | ELIZABETH MARY ALEXANDER N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2016
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Last Update Date | 08/23/2016
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Provider Practice Location Address
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Address Line | 305 N HEATHERWILDE BLVD SUITE 300
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City | PFLUGERVILLE
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State | TX
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Zip | 78660-3757
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Country | US
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Telephone | 877-637-8387
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Fax |
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Provider Business Mailing Address
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Address Line | 59 KIRBY ST
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City | FORT RUCKER
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State | AL
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Zip | 36362-2237
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Country | US
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Telephone | 512-786-1241
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP130791
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | RN216412
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License Number State | GA
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