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General NPI Number Information
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NPI Number | 1346839024
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Entity Type | Individual
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Provider Name | ALDEN ALEXANDER BUSH DNP, MPH, PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 01/15/2021
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Last Update Date | 10/09/2026
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Provider Practice Location Address
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Address Line | 109 W 27TH ST RM 5S
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City | NEW YORK
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State | NY
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Zip | 10001-6208
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Country | US
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Telephone | 833-351-8255
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Fax | 888-815-3583
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Provider Business Mailing Address
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Address Line | 430 FRANKLIN ST UNIT 1014
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City | SCHENECTADY
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State | NY
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Zip | 12305-2018
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Country | US
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Telephone | 518-219-0933
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Fax | 518-450-6484
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 404163
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 346660
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 346660
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 802060
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 10.242339
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License Number State | CT
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