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General NPI Number Information
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NPI Number | 1235910720
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Entity Type | Individual
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Provider Name | ALEXANDRA FINN LATTIER MA, SSP, LPES
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Gender | Female
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 530 SEVENTH AVENUE SUITE M1
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City | NEW YORK
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State | NY
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Zip | 10018
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Country | US
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Telephone | 803-881-9361
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Fax |
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Provider Business Mailing Address
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Address Line | 1646 HIGHWAY 160 W STE 105
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City | FORT MILL
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State | SC
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Zip | 29708-8010
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Country | US
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Telephone | 803-881-9361
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4760
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 290427551252
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License Number State | SC
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