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General NPI Number Information
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NPI Number | 1316556749
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Entity Type | Individual
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Provider Name | ALEXA MARIE HERNANDEZ
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Gender | Female
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Dates
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Enumeration Date | 07/31/2020
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 16020 SWINGLEY RIDGE RD
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City | CHESTERFIELD
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State | MO
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Zip | 63017-6030
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Country | US
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Telephone | 636-255-0002
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Fax |
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Provider Business Mailing Address
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Address Line | 2783 TROMMEL WAY FL 32771
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City | SANFORD
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State | FL
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Zip | 32771-5805
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Country | US
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Telephone | 609-775-5872
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37PC00926600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2020024373
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License Number State | MO
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