Basic Information
Provider Information
NPI: 1750743456
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARLEKAMP
FirstName: ALEXANDER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
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Mailing Information
Address1: 260 WILBUR DR NE APT F
Address2:  
City: NORTH CANTON
State: OH
PostalCode: 447201665
CountryCode: US
TelephoneNumber: 4193507287
FaxNumber:  
Practice Location
Address1: 1835 FRANKS PKWY
Address2:  
City: UNIONTOWN
State: OH
PostalCode: 446856249
CountryCode: US
TelephoneNumber: 3308990103
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/22/2016
LastUpdateDate: 11/08/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207QA0505X35.135819OHY Allopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine

No ID Information.


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