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NPI 1376225342

NPI 1376225342 : RHONDA ALEXANDER LGSW : KEARNEYSVILLE, WV

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General NPI Number Information
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    NPI Number           |    1376225342
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    Entity Type          |    Individual 
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    Provider Name        |    RHONDA ALEXANDER LGSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/01/2023
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    Last Update Date     |    08/01/2023
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Provider Practice Location Address
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    Address Line         |    69 CLENDENING DR 
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    City                 |    KEARNEYSVILLE
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    State                |    WV
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    Zip                  |    25430-4716
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    Country              |    US
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    Telephone            |    681-252-3937
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    57 TEAL RD N 
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    City                 |    MARTINSBURG
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    State                |    WV
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    Zip                  |    25405-8296
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    Country              |    US
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    Telephone            |    304-710-6451
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    BP00945326
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    License Number State |    WV
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