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General NPI Number Information
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NPI Number | 1972160653
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Entity Type | Individual
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Provider Name | ALEJANDRA PEREZ LMT
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Gender | Female
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Dates
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Enumeration Date | 05/28/2019
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 815 2ND AVE STE 115
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City | FAIRBANKS
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State | AK
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Zip | 99701-4469
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Country | US
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Telephone | 907-799-1572
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Fax | 907-759-7202
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Provider Business Mailing Address
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Address Line | 995 HIGH GRADE WAY
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City | FAIRBANKS
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State | AK
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Zip | 99712-2017
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Country | US
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Telephone | 907-799-1572
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Fax | 907-759-7202
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 142217
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License Number State | AK
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