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General NPI Number Information
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NPI Number | 1992855787
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Entity Type | Individual
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Provider Name | GREGG M. ALEXANDER D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/14/2007
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Provider Practice Location Address
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Address Line | 55 PARK AVE STE 210
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City | LONDON
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State | OH
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Zip | 43140-1121
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Country | US
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Telephone | 740-845-7720
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Fax | 740-845-7721
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Provider Business Mailing Address
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Address Line | 55 PARK AVE. SUITE. 210
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City | LONDON
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State | OH
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Zip | 43140-1121
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 34.005421
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License Number State | OH
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