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General NPI Number Information
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NPI Number | 1679129795
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Entity Type | Individual
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Provider Name | ALEXI MERCEDES CHRISTENSEN MA, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/14/2019
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Last Update Date | 07/08/2022
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Provider Practice Location Address
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Address Line | 11672 EVERGREEN ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55448-2424
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Country | US
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Telephone | 651-233-7436
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Fax |
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Provider Business Mailing Address
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Address Line | 11672 EVERGREEN ST NW
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City | COON RAPIDS
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State | MN
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Zip | 55448-2424
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Country | US
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Telephone | 651-233-7436
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 6601-026
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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Taxonomy #6
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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Taxonomy #7
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Taxonomy Code | 225XE0001X
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Taxonomy Name | Environmental Modification Occupational Therapist
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License Number |
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