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General NPI Number Information
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NPI Number | 1497184451
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Entity Type | Individual
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Provider Name | ALEXANDRA STANTON LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/09/2013
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Last Update Date | 04/16/2019
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Provider Practice Location Address
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Address Line | 344 FULTON AVE
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City | HEMPSTEAD
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State | NY
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Zip | 11550
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Country | US
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Telephone | 516-538-2613
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Fax |
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Provider Business Mailing Address
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Address Line | 62 FRANKLIN ST
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City | PATCHOGUE
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State | NY
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Zip | 11772-2769
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Country | US
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Telephone | 631-220-8294
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 086525
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 090485
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License Number State | NY
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