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General NPI Number Information
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NPI Number | 1467956334
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Entity Type | Individual
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Provider Name | ALEXANDRA BASAURI
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 06/22/2020
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Provider Practice Location Address
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Address Line | 6200 SW ARCTIC DR
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City | BEAVERTON
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State | OR
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Zip | 97005-9447
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Country | US
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Telephone | 503-718-7569
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Fax |
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Provider Business Mailing Address
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Address Line | 711 E BALL RD STE 201
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City | ANAHEIM
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State | CA
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Zip | 92805-5925
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CA
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