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General NPI Number Information
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NPI Number | 1730860073
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Entity Type | Organization
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Legal Business Name | ALEXANDRIA MCNAMEE LLC
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 1155 INDEPENDENCE AVE
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City | WATERLOO
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State | IA
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Zip | 50703-4233
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Country | US
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Telephone | 319-939-6194
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Fax |
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Provider Business Mailing Address
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Address Line | 13509 W 74TH TER
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City | SHAWNEE
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State | KS
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Zip | 66216-3736
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Country | US
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Telephone | 319-939-6194
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDRIA KASE
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Credential |
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Telephone | 319-939-6194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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