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General NPI Number Information
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NPI Number | 1982414884
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Entity Type | Organization
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Legal Business Name | ALEXANDER, ENGSTROM & YEZBICK, PC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 455 E COLUMBIA ST STE 32
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City | LONG BEACH
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State | CA
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Zip | 90806-1607
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Country | US
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Telephone | 562-933-3141
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 E WILLOW ST STE D
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2142
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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 | VICE PRESIDENT
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Name | MICHAEL G ALEXANDER
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Credential | MD
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Telephone | 310-872-7687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number |
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License Number State |
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