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General NPI Number Information
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NPI Number | 1043131741
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Entity Type | Individual
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Provider Name | ALEXANDRA SIMMONS
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 505 STATE ROUTE 20 SUITE 102
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City | WINTHROP
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State | WA
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Zip | 98862
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Country | US
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Telephone | 509-449-2179
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 822
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City | TWISP
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State | WA
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Zip | 98856-0822
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Country | US
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Telephone | 509-449-2179
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY61457133
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License Number State | WA
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