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General NPI Number Information
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NPI Number | 1629615372
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Entity Type | Individual
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Provider Name | ALEXANDRA LEIGH SCHUTTE MHC-LP
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Gender | Female
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Dates
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Enumeration Date | 12/02/2019
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Last Update Date | 12/02/2019
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Provider Practice Location Address
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Address Line | 301 W 140TH ST
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City | NEW YORK
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State | NY
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Zip | 10030-1406
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Country | US
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Telephone | 646-668-0351
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HANOVER SQ APT 4HG
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City | NEW YORK
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State | NY
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Zip | 10004-2615
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Country | US
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Telephone | 908-692-3496
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 102614-01
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License Number State | NY
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