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General NPI Number Information
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NPI Number | 1467372300
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Entity Type | Individual
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Provider Name | ALEXANDRA RODEN
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Gender | Female
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Dates
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Enumeration Date | 07/20/2026
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 1289 ROUTE 38
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City | HAINESPORT
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State | NJ
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Zip | 08036-2730
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Country | US
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Telephone | 609-267-5656
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Fax |
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Provider Business Mailing Address
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Address Line | 10 MORRIS DR
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City | PRINCETON
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State | NJ
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Zip | 08540-7944
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 2023-000421
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number | 2914
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 37AC00835100
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License Number State | NJ
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