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General NPI Number Information
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NPI Number | 1265359558
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Entity Type | Individual
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Provider Name | ALEXIS LECLAIR
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 16 TOWN CRIER DR
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City | BRATTLEBORO
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State | VT
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Zip | 05301-8669
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Country | US
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Telephone | 802-258-4623
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Fax | 802-258-4629
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Provider Business Mailing Address
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Address Line | PO BOX 8425
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City | BRATTLEBORO
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State | VT
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Zip | 05304-8425
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Country | US
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Telephone | 802-258-4623
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Fax | 802-258-4629
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 018895-22
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License Number State | NH
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