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General NPI Number Information
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NPI Number | 1427517804
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Entity Type | Organization
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Legal Business Name | THE INSTITUTE FOR SEXUALITY & INTIMACY, LLC
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Dates
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Enumeration Date | 03/15/2019
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Last Update Date | 03/15/2019
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Provider Practice Location Address
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Address Line | 9666 OLIVE BLVD STE 330
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City | SAINT LOUIS
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State | MO
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Zip | 63132-3035
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Country | US
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Telephone | 314-548-9436
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Fax |
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Provider Business Mailing Address
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Address Line | 9666 OLIVE BLVD STE 330
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City | SAINT LOUIS
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State | MO
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Zip | 63132-3035
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Country | US
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Telephone | 314-548-9436
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. ALEXCIS BROWN
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Credential | PHD, LMFT, CSE
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Telephone | 314-548-9436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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