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General NPI Number Information
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NPI Number | 1982218582
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Entity Type | Individual
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Provider Name | ALEXANDRIA LEA GARLOW PA
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Gender | Female
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Dates
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Enumeration Date | 09/02/2020
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 401 OYSTER POINT RD STE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23602-6926
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Country | US
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Telephone | 757-249-3000
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Fax | 757-269-4424
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Provider Business Mailing Address
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Address Line | 860 OMNI BLVD STE 101
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-4430
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Country | US
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Telephone | 757-232-8769
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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