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General NPI Number Information
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NPI Number | 1578132072
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Entity Type | Individual
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Provider Name | ALEXA RAE PATRICK LPC
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Gender | Female
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Dates
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Enumeration Date | 06/21/2021
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 8813 SAGEBRUSH TRL
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City | CROSS ROADS
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State | TX
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Zip | 76227-3826
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Country | US
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Telephone | 512-956-6463
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Fax |
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Provider Business Mailing Address
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Address Line | 101 S LOCUST ST STE 602
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City | DENTON
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State | TX
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Zip | 76201-6159
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Country | US
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Telephone | 512-956-6463
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86214
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License Number State | TX
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