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General NPI Number Information
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NPI Number | 1225649403
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Entity Type | Individual
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Provider Name | ALEXIS EVELYN BECHARD LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/12/2020
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Last Update Date | 04/06/2023
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Provider Practice Location Address
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Address Line | 1490 ROUTE 9N
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City | CLINTONVILLE
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State | NY
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Zip | 12924-4218
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Country | US
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Telephone | 518-578-1254
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Fax |
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Provider Business Mailing Address
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Address Line | 22 US OVAL STE 100
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City | PLATTSBURGH
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State | NY
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Zip | 12903-5901
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Country | US
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Telephone | 518-563-8206
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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 | P105993
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 112401
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License Number State | NY
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