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General NPI Number Information
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NPI Number | 1205426350
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Entity Type | Organization
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Legal Business Name | ALEXANDRA BARTH LCSW, PLLC
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/22/2021
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Provider Practice Location Address
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Address Line | 135 W ILLINOIS AVE UNIT 115
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5808
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Country | US
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Telephone | 910-929-0375
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Fax | 910-849-3633
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Provider Business Mailing Address
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Address Line | 135 W ILLINOIS AVE UNIT 115
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5808
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Country | US
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Telephone | 910-929-0375
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Fax | 910-849-3633
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Authorized Official
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Title or Position | OWNER/ORGANIZER
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Name | ALEXANDRA BARTH
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Credential | LCSW
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Telephone | 910-929-0375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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