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General NPI Number Information
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NPI Number | 1720244692
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Entity Type | Individual
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Provider Name | LARA J ALESSANDRELLI MS, CCC-A
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Gender | Female
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 6701 JEFFERSON ST NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-4318
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Country | US
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Telephone | 505-727-1670
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Fax |
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Provider Business Mailing Address
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Address Line | 2211 LOMAS BLVD. NE 5N
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City | ALBUQUERQUE
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State | NM
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Zip | 87106
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Country | US
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Telephone | 505-272-3535
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Fax | 505-272-0300
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 5476
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | AUD5476
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License Number State | NM
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