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General NPI Number Information
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NPI Number | 1730603135
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Entity Type | Individual
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Provider Name | ALIXANDRA L ANDOLINA
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Gender | Female
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Dates
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Enumeration Date | 07/28/2017
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Last Update Date | 12/29/2023
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Provider Practice Location Address
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Address Line | 262 WESTFIELD RD
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City | HOLYOKE
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State | MA
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Zip | 01040-1662
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Country | US
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Telephone | 818-241-6780
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Fax | 888-588-2752
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Provider Business Mailing Address
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Address Line | 1333 S MAYFLOWER AVE STE 220
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City | MONROVIA
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State | CA
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Zip | 91016-5239
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Country | US
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Telephone | 818-241-6780
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Fax | 888-588-2752
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-20-41690
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License Number State | MA
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