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NPI 1376405316

NPI 1376405316 : ALEXA SCIARRA MGC, CGC : PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1376405316
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    Entity Type          |    Individual 
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    Provider Name        |    ALEXA SCIARRA MGC, CGC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/28/2025
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    Last Update Date     |    11/28/2025
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Provider Practice Location Address
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    Address Line         |    887 CONGRESS ST STE 200 
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04102-3166
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    Country              |    US
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    Telephone            |    207-661-7025
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    Fax                  |    207-771-7834
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Provider Business Mailing Address
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    Address Line         |    47 DEERING ST APT 4 
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-2698
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    Country              |    US
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    Telephone            |    
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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        |    170300000X
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    Taxonomy Name        |    Genetic Counselor (M.S.)
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    License Number       |    
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    License Number State |    
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