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General NPI Number Information
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NPI Number | 1750249843
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Entity Type | Individual
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Provider Name | ALEXANDRA GRYPARIS HARBIN
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Gender | Female
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 123 BLUE HERON DR STE 102
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City | MONTGOMERY
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State | TX
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Zip | 77316-3192
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Country | US
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Telephone | 936-449-8053
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Fax |
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Provider Business Mailing Address
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Address Line | 12580 SAGITTARIUS DR E
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City | WILLIS
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State | TX
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Zip | 77318-5252
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Country | US
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Telephone | 713-992-2418
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 101312
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License Number State | TX
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