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General NPI Number Information
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NPI Number | 1033004585
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Entity Type | Individual
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Provider Name | ALEXA HARRIS
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Gender | Female
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 655 REDWOOD HWY FRONTAGE RD STE 246
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City | MILL VALLEY
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State | CA
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Zip | 94941-3055
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Country | US
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Telephone | 415-301-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 3465 BRODERICK ST APT 104
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City | SAN FRANCISCO
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State | CA
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Zip | 94123-1844
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Country | US
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Telephone | 925-640-0095
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95436612
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95037939
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License Number State | CA
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