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General NPI Number Information
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NPI Number | 1992872493
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Entity Type | Organization
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Legal Business Name | R L ALEXANDER, MD PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 233 FULTON ST E STE 114A
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3200
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Country | US
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Telephone | 616-742-1223
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Fax | 616-742-1228
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Provider Business Mailing Address
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Address Line | 233 FULTON ST E STE 114A
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City | GRAND RAPIDS
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State | MI
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Zip | 49503-3200
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Country | US
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Telephone | 616-742-1223
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Fax | 616-742-1228
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. ROBERT LEWIS ALEXANDER
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Credential | MD
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Telephone | 616-291-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | RA044385
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License Number State | MI
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