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General NPI Number Information
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NPI Number | 1477755999
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Entity Type | Individual
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Provider Name | ANGELA ALEXANDER LPC
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Gender | Female
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 1799 STUMPF BLVD BLDG 1 SUITE 2
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City | TERRYTOWN
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State | LA
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Zip | 70056-3950
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Country | US
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Telephone | 504-261-7512
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Fax | 504-309-7131
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Provider Business Mailing Address
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Address Line | PO BOX 2567
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City | GRETNA
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State | LA
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Zip | 70054-2567
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Country | US
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Telephone | 504-261-7512
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Fax | 504-309-7131
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2609
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 703
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1004
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License Number State | LA
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