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General NPI Number Information
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NPI Number | 1679923247
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Entity Type | Individual
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Provider Name | ALEXANDER MYLES TURNER LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/15/2016
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Last Update Date | 05/29/2019
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Provider Practice Location Address
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Address Line | 19515 BRUNE PKWY
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City | WARRENTON
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State | MO
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Zip | 63383-6505
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Country | US
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Telephone | 888-403-1071
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Fax |
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Provider Business Mailing Address
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Address Line | 500 MEDICAL DR
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City | WENTZVILLE
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State | MO
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Zip | 63385-3421
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Country | US
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Telephone | 636-327-1174
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Fax | 636-327-1396
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2017024105
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2017024105
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License Number State | MO
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