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General NPI Number Information
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NPI Number | 1598231706
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Entity Type | Individual
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Provider Name | JENNIFER LYNN ALEXANDER LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/16/2018
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 51 S BRIAN MICKELSEN PKWY
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City | COTTONWOOD
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State | AZ
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Zip | 86326-3610
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Country | US
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Telephone | 928-639-8132
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Fax | 866-274-8919
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Provider Business Mailing Address
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Address Line | 1090 COMMERCE DR
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City | PRESCOTT
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State | AZ
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Zip | 86305-3700
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Country | US
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Telephone | 285-831-1000
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Fax | 866-323-8458
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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 | SW10310
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-20657
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License Number State | AZ
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