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General NPI Number Information
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NPI Number | 1700552239
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Entity Type | Individual
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Provider Name | ARDAJAH ALEXANDER M.A.
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Gender | Female
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 2525 MCCUE RD APT 208
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City | HOUSTON
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State | TX
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Zip | 77056-5130
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Country | US
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Telephone | 337-344-5267
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Fax |
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Provider Business Mailing Address
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Address Line | 2039 FALCONCREST DR
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-5039
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Country | US
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Telephone | 337-344-5267
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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