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General NPI Number Information
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NPI Number | 1619375649
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Entity Type | Individual
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Provider Name | ALIXANDRA WEST LICSW
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Gender | Female
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Dates
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Enumeration Date | 12/08/2014
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 34 BLAIR PARK RD STE 104
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City | WILLISTON
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State | VT
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Zip | 05495-7991
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Country | US
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Telephone | 802-242-2602
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Fax |
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Provider Business Mailing Address
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Address Line | 34 BLAIR PARK RD STE 104
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City | WILLISTON
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State | VT
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Zip | 05495-7991
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Country | US
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Telephone | 802-242-2602
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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 | 089.0099948
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License Number State | VT
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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 | 99311
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License Number State | CA
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