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NPI Code Detail

MEDICARE: JASON ALEXANDER

MEDICARE:   JASON  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
1225000000XOrthotic FitterCFO05513NC

General Provider Information

NPI Number : 1437932332
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON ALEXANDER
Provider Business Mailing Address
First Line : 1040 S CHURCH ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5046
Country : US
Telephone Number : 919-812-4557
Fax Number : 866-293-6233
Provider Business Practice Location Address
First Line : 1040 S CHURCH ST
Second Line :
City : BURLINGTON
State : NC
Zip : 27215-5046
Country : US
Telephone Number : 919-812-4557
Fax Number : 866-293-6233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2023
Last Update Date : 08/15/2023

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Directions to “ JASON ALEXANDER ” Practice Location

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