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NPI 1144890211

NPI 1144890211 : ALEXANDRA POPA PSY.D. : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1144890211
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXANDRA POPA PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/30/2021
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    Last Update Date     |    06/18/2025
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Provider Practice Location Address
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    Address Line         |    2507 BROWNCROFT BLVD STE 106B 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14625-1523
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    Country              |    US
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    Telephone            |    585-310-4490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2507 BROWNCROFT BLVD STE 106B 
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14625-1523
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    Country              |    US
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    Telephone            |    585-310-4490
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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        |    103TS0200X
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    Taxonomy Name        |    School Psychologist
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    License Number       |    026201
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    026201
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    License Number State |    NY
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