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General NPI Number Information
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NPI Number | 1427793843
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Entity Type | Individual
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Provider Name | ALEXA LEANNE VELLA NBC-HWC, CTRS, BCNC
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Gender | Female
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Dates
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Enumeration Date | 04/29/2022
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Last Update Date | 04/29/2022
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Provider Practice Location Address
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Address Line | 306 1ST ST # 2
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City | WESTFIELD
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State | NJ
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Zip | 07090-3318
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Country | US
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Telephone | 908-591-4027
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Fax |
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Provider Business Mailing Address
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Address Line | 306 1ST ST APT 2
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City | WESTFIELD
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State | NJ
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Zip | 07090-3318
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Country | US
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Telephone | 908-591-4027
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 40526NC
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number | 61687
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | A-3252826
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License Number State | NJ
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