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General NPI Number Information
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NPI Number | 1972453769
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Entity Type | Individual
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Provider Name | ALEXIA MARSHALL
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Gender | Female
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Dates
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Enumeration Date | 01/30/2026
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 800 E CARPENTER ST
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City | SPRINGFIELD
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State | IL
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Zip | 62702-5324
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Country | US
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Telephone | 217-544-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 134 N DOUGLAS AVE
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City | SPRINGFIELD
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State | IL
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Zip | 62702-4814
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 041529499
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License Number State | IL
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