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General NPI Number Information
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NPI Number | 1629368444
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Entity Type | Individual
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Provider Name | STEVE RUDOLPH ALEXANDER MS, LCAS, CRC, LPCA
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Gender | Male
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | 504 DEXTER ST SUITE B
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City | GREENVILLE
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State | NC
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Zip | 27834-6320
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Country | US
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Telephone | 252-439-1117
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Fax | 252-439-1119
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Provider Business Mailing Address
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Address Line | 504 DEXTER ST SUITE B
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City | GREENVILLE
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State | NC
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Zip | 27834-6320
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Country | US
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Telephone | 252-439-1117
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Fax | 252-439-1119
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1739
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 00111768
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | A7757
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License Number State | NC
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