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General NPI Number Information
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NPI Number | 1144185083
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Entity Type | Individual
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Provider Name | ALYSSA MEINKE
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Gender | Female
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Dates
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Enumeration Date | 12/23/2025
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 921 BROADUS ST
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City | STURGIS
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State | MI
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Zip | 49091-2403
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Country | US
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Telephone | 833-624-6385
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Fax | 855-314-0085
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Provider Business Mailing Address
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Address Line | 1295 BROADWAY
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City | HEWLETT
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State | NY
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Zip | 11557-2015
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Country | US
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Telephone | 833-624-6385
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Fax | 855-314-0085
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State | MI
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