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General NPI Number Information
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NPI Number | 1215272349
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Entity Type | Individual
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Provider Name | ALEXANDRA LEAH LAIFER PH.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 04/27/2025
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Provider Practice Location Address
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Address Line | 1015 CHESTNUT AVE
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City | CARLSBAD
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State | CA
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Zip | 92008-2562
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Country | US
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Telephone | 760-814-9925
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Fax | 760-721-1700
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Provider Business Mailing Address
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Address Line | 1015 CHESTNUT AVE STE D2
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City | CARLSBAD
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State | CA
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Zip | 92008-2563
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Country | US
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Telephone | 760-814-9925
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 25307
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License Number State | CA
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