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General NPI Number Information
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NPI Number | 1972508240
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Entity Type | Individual
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Provider Name | DR. NICHOLAS ALEXANDER
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Gender | Male
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Dates
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Enumeration Date | 06/14/2005
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 400 FRANKLIN TPKE STE 100
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City | MAHWAH
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State | NJ
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Zip | 07430-3517
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Country | US
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Telephone | 201-818-4344
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Fax | 201-818-2710
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Provider Business Mailing Address
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Address Line | 400 FRANKLIN TPKE STE 100
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City | MAHWAH
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State | NJ
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Zip | 07430-3517
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Country | US
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Telephone | 201-818-4344
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Fax | 201-818-2710
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MA53478
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License Number State | NJ
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