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General NPI Number Information
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NPI Number | 1982094066
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Entity Type | Individual
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Provider Name | ALEXANDRA LINDY ELLISON-CHERNY D.C.
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Gender | Female
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Dates
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Enumeration Date | 01/28/2015
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 27454 CASHFORD CIR
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8199
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Country | US
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Telephone | 813-973-4747
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Fax |
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Provider Business Mailing Address
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Address Line | 19420 VIA DEL MAR APT 301
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City | TAMPA
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State | FL
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Zip | 33647-3060
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Country | US
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Telephone | 561-558-7948
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH11416
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License Number State | FL
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