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General NPI Number Information
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NPI Number | 1528546579
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Entity Type | Individual
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Provider Name | ALEXANDRIA ZACHARIADES
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Gender | Female
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Dates
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Enumeration Date | 08/01/2018
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 400 S JEFFERSON ST STE 304
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City | SPOKANE
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State | WA
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Zip | 99204-3144
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Country | US
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Telephone | 970-343-4267
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Fax |
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Provider Business Mailing Address
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Address Line | 1314 S GRAND BLVD STE 2-213
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City | SPOKANE
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State | WA
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Zip | 99202-1174
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Country | US
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Telephone | 925-487-1349
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LH61226635
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License Number State | WA
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