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General NPI Number Information
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NPI Number | 1720408289
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Entity Type | Organization
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Legal Business Name | ALEXY COUNSELING PRACTICE LLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 05/01/2014
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Provider Practice Location Address
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Address Line | 2961 W LIBERTY AVE SUITE 212
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City | PITTSBURGH
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State | PA
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Zip | 15216-2546
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Country | US
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Telephone | 412-343-6044
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Fax | 412-561-5937
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Provider Business Mailing Address
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Address Line | 2961 W LIBERTY AVE SUITE 212
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City | PITTSBURGH
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State | PA
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Zip | 15216-2546
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Country | US
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Telephone | 412-343-6044
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Fax | 412-561-5937
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. JUDY ANN ALEXY
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Credential | L.P.C.
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Telephone | 412-656-7078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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