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General NPI Number Information
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NPI Number | 1700407624
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Entity Type | Individual
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Provider Name | ALEXANDER GIOVANETTI PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2020
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1700 WHEELING ST
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City | AURORA
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State | CO
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Zip | 80045-7211
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Country | US
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Telephone | 303-399-8020
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Fax |
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Provider Business Mailing Address
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Address Line | 4514 CAMINITO CRISTALINO
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City | SAN DIEGO
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State | CA
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Zip | 92117-3616
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY.0006488
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License Number State | CO
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