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General NPI Number Information
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NPI Number | 1043125206
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Entity Type | Individual
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Provider Name | ALEXANDRA ALLEN HARRIS M.S. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 400 FOWLER DR
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City | ATHENS
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State | GA
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Zip | 30601-1347
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Country | US
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Telephone | 706-357-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 169 TILSON RD
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City | ATHENS
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State | GA
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Zip | 30606-4516
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 14439643
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License Number State | GA
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