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General NPI Number Information
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NPI Number | 1205565678
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Entity Type | Individual
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Provider Name | ALEXA L MONIZ
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Gender | Female
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/14/2022
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Provider Practice Location Address
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Address Line | 1261 FURNACE BROOK PKWY STE 31
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City | QUINCY
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State | MA
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Zip | 02169-4787
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Country | US
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Telephone | 617-479-4545
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Fax |
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Provider Business Mailing Address
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Address Line | 16 SWALLOW ST
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City | NEW BEDFORD
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State | MA
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Zip | 02745-2238
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Country | US
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Telephone |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 225037
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License Number State | MA
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