MEDICARE: ALEXANDRA DUKE MS, SLP

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
1	235Z00000X	Speech-Language Pathologist	PCTE003849	GA

General Provider Information

NPI Number	:	1831876127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXANDRA DUKE MS, SLP

Provider Business Mailing Address
First Line	:	2623 HATFIELD CIR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-3922
Country	:	US
Telephone Number	:	678-231-7221
Fax Number	:

Provider Business Practice Location Address
First Line	:	6980 ROSWELL RD UNIT K11
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-2243
Country	:	US
Telephone Number	:	786-385-8319
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/29/2023

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