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General NPI Number Information
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NPI Number | 1679464580
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Entity Type | Individual
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Provider Name | ALEXIS DAVIS LCSWA
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 1214 GROVE ST
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City | GREENSBORO
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State | NC
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Zip | 27403-3410
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Country | US
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Telephone | 336-285-6887
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Fax |
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Provider Business Mailing Address
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Address Line | 100 DUNWOODY RD APT 138
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City | WINSTON SALEM
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State | NC
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Zip | 27127-5155
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Country | US
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Telephone | 252-204-4241
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | P021908
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License Number State | NC
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