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General NPI Number Information
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NPI Number | 1194000216
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Entity Type | Individual
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Provider Name | ALEXANDRA HAZEL RUDD-BARNARD PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/20/2011
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 3649 ATLANTIC AVE STE B
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City | LONG BEACH
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State | CA
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Zip | 90807-3417
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Country | US
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Telephone | 310-207-1720
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Fax | 310-207-1638
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Provider Business Mailing Address
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Address Line | 3649 ATLANTIC AVE STE B
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City | LONG BEACH
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State | CA
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Zip | 90807-3417
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Country | US
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Telephone | 310-207-1720
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Fax | 310-207-1638
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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 | PSY25369
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 019294
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License Number State | NY
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