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General NPI Number Information
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NPI Number | 1588487128
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Entity Type | Individual
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Provider Name | ALEX SEXTON
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Gender | Male
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 105 W 51ST ST APT 6303
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City | AUSTIN
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State | TX
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Zip | 78751-0008
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Country | US
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Telephone | 210-274-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 9222 GRANBERRY PASS
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City | UNIVERSAL CITY
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State | TX
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Zip | 78148-4634
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 116690
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | 18907
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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