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General NPI Number Information
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NPI Number | 1700744794
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Entity Type | Individual
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Provider Name | ALEXANDRA WHITE LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 3304 N LINCOLN AVE STE G
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City | CHICAGO
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State | IL
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Zip | 60657-8073
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Country | US
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Telephone | 312-809-0208
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Fax |
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Provider Business Mailing Address
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Address Line | 610 INVERNESS DR
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City | AURORA
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State | IL
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Zip | 60504-5272
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Country | US
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Telephone | 630-881-6926
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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 | 149.022792
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License Number State | IL
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