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General NPI Number Information
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NPI Number | 1104625359
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Entity Type | Individual
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Provider Name | ALYSON JENNIFER ALFIERI MA
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 300 FRANKLIN ST STE 226
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City | MARTINSVILLE
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State | VA
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Zip | 24112-2163
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Country | US
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Telephone | 276-531-9523
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Fax |
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Provider Business Mailing Address
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Address Line | 4804 EAGLE ROCK RD
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City | GREENSBORO
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State | NC
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Zip | 27410-8617
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Country | US
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Telephone | 336-840-9120
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Fax | 276-859-5853
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0704015412
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License Number State | VA
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