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General NPI Number Information
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NPI Number | 1700917812
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Entity Type | Individual
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Provider Name | NICOLE ALEXANDER M.A., PSYD.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 11/08/2019
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Provider Practice Location Address
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Address Line | 14181 TELEGRAPH RD
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City | WHITTIER
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State | CA
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Zip | 90604
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Country | US
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Telephone | 562-380-0261
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Fax | 562-380-0270
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Provider Business Mailing Address
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Address Line | 10736 JEFFERSON BLVD. #420
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City | CULVER CITY
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State | CA
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Zip | 90230
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Country | US
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Telephone | 818-941-6281
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF83671
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License Number State | CA
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