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General NPI Number Information
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NPI Number | 1740007905
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Entity Type | Individual
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Provider Name | ALEXANDRA MALIA HAMPTON LMSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2024
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Last Update Date | 09/20/2024
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Provider Practice Location Address
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Address Line | 125 E 23RD ST STE 501
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City | NEW YORK
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State | NY
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Zip | 10010-4511
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Country | US
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Telephone | 212-433-2664
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Fax |
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Provider Business Mailing Address
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Address Line | 2367 FREDERICK DOUGLASS BLVD APT 3A
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City | NEW YORK
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State | NY
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Zip | 10027-1809
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Country | US
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Telephone | 808-436-3171
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 124711
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License Number State | NY
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