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NPI Code Detail

MEDICARE: ALEXIS BURT

MEDICARE: ALEXIS BURT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorOH

General Provider Information

NPI Number : 1265293880
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS BURT
Provider Business Mailing Address
First Line : 4680 LIBERTY AVE
Second Line :
City : VERMILION
State : OH
Zip : 44089-3243
Country : US
Telephone Number : 330-639-7468
Fax Number :
Provider Business Practice Location Address
First Line : 4680 LIBERTY AVE
Second Line :
City : VERMILION
State : OH
Zip : 44089-3243
Country : US
Telephone Number : 330-639-7468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2024
Last Update Date : 01/22/2024

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Directions to “ ALEXIS BURT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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