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General NPI Number Information
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NPI Number | 1649335324
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Entity Type | Individual
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Provider Name | SCOTT ALEXANDER
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Gender | Male
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Dates
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Enumeration Date | 12/24/2006
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 2400 BISSO LN STE D
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City | CONCORD
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State | CA
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Zip | 94520-4832
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Country | US
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Telephone | 925-608-6751
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HOGAN CT APT 1
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City | WALNUT CREEK
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State | CA
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Zip | 94598-1340
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFT48075
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License Number State | CA
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