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General NPI Number Information
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NPI Number | 1063862365
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Entity Type | Individual
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Provider Name | PAMELA CARLSON ALEXANDER PHD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2016
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Last Update Date | 06/16/2016
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Provider Practice Location Address
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Address Line | 21 ELIOT ST
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City | NATICK
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State | MA
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Zip | 01760-6085
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Country | US
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Telephone | 508-283-7317
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Fax |
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Provider Business Mailing Address
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Address Line | 18 BROOK ST
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City | SHERBORN
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State | MA
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Zip | 01770-1053
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Country | US
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Telephone | 215-431-6917
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 9301
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License Number State | MA
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