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General NPI Number Information
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NPI Number | 1760115638
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Entity Type | Individual
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Provider Name | ALEXANDRA DAVIS PSY.D
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 2950 HALCYON LN STE 704
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City | JACKSONVILLE
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State | FL
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Zip | 32223-6692
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Country | US
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Telephone | 904-289-3119
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Fax | 187-111-0460
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Provider Business Mailing Address
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Address Line | 1401 RIVERPLACE BLVD APT 706
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City | JACKSONVILLE
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State | FL
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Zip | 32207-9077
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Country | US
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Telephone |
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PY12435
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PY12435
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License Number State | FL
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