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General NPI Number Information
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NPI Number | 1659676492
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Entity Type | Organization
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Legal Business Name | ALEXANDER AND ASSOCIATES GROUP, LLC
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Dates
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Enumeration Date | 01/25/2011
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 3605 SHANDWICK PL
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6418
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Country | US
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Telephone | 775-762-7008
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Fax |
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Provider Business Mailing Address
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Address Line | 3605 SHANDWICK PL
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City | BIRMINGHAM
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State | AL
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Zip | 35242-6418
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Country | US
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Telephone | 775-762-7008
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CRAIG ALEXANDER
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Credential | PHD
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Telephone | 775-762-7008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1408
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 27273
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License Number State | AL
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