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General NPI Number Information
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NPI Number | 1174357347
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Entity Type | Individual
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Provider Name | ALEXANDRIA LYNN SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 08/29/2024
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 66 WEST ST STE 4E
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City | PITTSFIELD
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State | MA
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Zip | 01201-5861
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Country | US
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Telephone | 413-343-4264
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Fax |
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Provider Business Mailing Address
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Address Line | 503 MAIN ST APT 3
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City | GREAT BARRINGTON
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State | MA
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Zip | 01230-2152
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Country | US
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Telephone | 518-322-7524
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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