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General NPI Number Information
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NPI Number | 1518803394
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Entity Type | Individual
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Provider Name | ALEXA PAIGE LANDIS WILKINS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 2204 KENTUCKY AVE
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City | PADUCAH
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State | KY
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Zip | 42003-3242
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Country | US
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Telephone | 270-777-4490
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Fax |
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Provider Business Mailing Address
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Address Line | 160A MATTHEW DR
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City | PADUCAH
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State | KY
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Zip | 42001-9707
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Country | US
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Telephone | 618-534-6422
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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 | LCSW00001511
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License Number State | KY
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