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General NPI Number Information
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NPI Number | 1992988976
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Entity Type | Organization
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Legal Business Name | PC ALEXANDER,M.D.,INC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 3611 S REED RD STE 108
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City | KOKOMO
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State | IN
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Zip | 46902-3828
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Country | US
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Telephone | 765-864-5730
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Fax | 765-864-5731
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Provider Business Mailing Address
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Address Line | 3611 S REED RD STE 108
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City | KOKOMO
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State | IN
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Zip | 46902-3828
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Country | US
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Telephone | 765-864-5730
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Fax | 765-864-5731
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Authorized Official
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Title or Position | SURGEON
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Name | DR. PANOS ALEXANDER
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Credential | M.D.
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Telephone | 765-864-5730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01033461A
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License Number State | IN
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