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General NPI Number Information
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NPI Number | 1265247480
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Entity Type | Individual
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Provider Name | ALEXANDRA LEE VOEGERL
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Gender | Female
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 93 W 3RD ST
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City | BIRDSEYE
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State | IN
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Zip | 47513-9750
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Country | US
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Telephone | 812-631-4991
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Fax |
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Provider Business Mailing Address
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Address Line | 695 3RD AVE
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City | JASPER
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State | IN
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Zip | 47546-3602
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Country | US
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Telephone | 812-670-9442
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BACB1245175
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License Number State | IN
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