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General NPI Number Information
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NPI Number | 1336924364
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Entity Type | Individual
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Provider Name | ALEXIS VICTORIA HENDRIX RBT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 17702 SIERRA HWY
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City | SANTA CLARITA
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State | CA
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Zip | 91351-1635
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Country | US
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Telephone | 188-844-9902
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Fax |
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Provider Business Mailing Address
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Address Line | 40742 BROOKHOLLOW CT
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City | PALMDALE
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State | CA
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Zip | 93551-5620
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Country | US
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Telephone | 850-319-2320
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | CA
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