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General NPI Number Information
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NPI Number | 1346167715
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Entity Type | Individual
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Provider Name | ALEXANDRA ROSE DESIMONE
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Gender | Female
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 4300 WEAVER PKWY STE 100A
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City | WARRENVILLE
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State | IL
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Zip | 60555-3920
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Country | US
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Telephone | 630-416-8289
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Fax |
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Provider Business Mailing Address
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Address Line | 6121 HAWTHORNE ST
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City | ROSEMONT
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State | IL
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Zip | 60018-4405
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Country | US
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Telephone | 312-802-2285
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178021698
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License Number State | IL
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