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General NPI Number Information
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NPI Number | 1750770673
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Entity Type | Individual
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Provider Name | ALEXANDRA MOTT
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Gender | Female
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Dates
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Enumeration Date | 01/15/2015
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 6910 HAMILTON DR
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City | DERBY
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State | NY
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Zip | 14047-9517
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Country | US
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Telephone | 716-352-9722
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Fax |
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Provider Business Mailing Address
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Address Line | 6910 HAMILTON DR
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City | DERBY
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State | NY
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Zip | 14047-9517
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Country | US
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Telephone | 716-352-9722
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 11224
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC0018775
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 21591
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13069748-6004
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License Number State | UT
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00971800
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License Number State | NJ
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Taxonomy #7
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 92599
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 008107
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License Number State | NY
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