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General NPI Number Information
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NPI Number | 1568265908
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Entity Type | Individual
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Provider Name | SHEREE NICHOLE ALEXANDER
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Gender | Female
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Dates
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Enumeration Date | 03/31/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 1332 PLANTATION RD NE
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City | ROANOKE
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State | VA
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Zip | 24012-5713
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Country | US
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Telephone | 540-725-1572
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Fax |
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Provider Business Mailing Address
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Address Line | 836 KERNER AVE
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City | SALEM
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State | VA
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Zip | 24153-5345
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Country | US
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Telephone | 540-819-0225
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | 1336723337
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License Number State | VA
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