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General NPI Number Information
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NPI Number | 1023938214
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Entity Type | Individual
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Provider Name | ALEXA CROWDER
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Gender | Female
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 2172 BLACKBERRY DR STE 202
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City | GENEVA
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State | IL
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Zip | 60134-1106
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Country | US
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Telephone | 972-672-0029
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Fax |
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Provider Business Mailing Address
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Address Line | 1200 BUNKER HILL CT APT A
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City | WHEATON
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State | IL
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Zip | 60189-8291
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.012266
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License Number State | IL
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