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General NPI Number Information
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NPI Number | 1548846496
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Entity Type | Individual
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Provider Name | ALEXANDRIA JOYCE FISHER
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 03/25/2021
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Provider Practice Location Address
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Address Line | 3847 TEAYS VALLEY RD
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City | HURRICANE
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State | WV
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Zip | 25526-9820
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Country | US
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Telephone | 130-438-2422
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 172
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City | CULLODEN
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State | WV
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Zip | 25510-0172
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | DP00945399
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License Number State | WV
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