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NPI Code Detail

MEDICARE: JONATHAN DAVID ALEXANDER

MEDICARE: JONATHAN DAVID ALEXANDER
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1285870782
Entity Type Code : Individual
Provider Name (Legal Business Name) : JONATHAN DAVID ALEXANDER
Provider Business Mailing Address
First Line : 4141 E DICKENSON PL
Second Line :
City : DENVER
State : CO
Zip : 80222-6012
Country : US
Telephone Number : 303-504-6509
Fax Number : 303-782-0916
Provider Business Practice Location Address
First Line : 1512 MONACO ST
Second Line :
City : DENVER
State : CO
Zip : 80220-1641
Country : US
Telephone Number : 303-355-4008
Fax Number : 303-355-0958
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2009
Last Update Date : 01/05/2009

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Directions to “ JONATHAN DAVID ALEXANDER ” Practice Location

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