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General NPI Number Information
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NPI Number | 1780493262
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Entity Type | Individual
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Provider Name | ALYSSA REYNOLDS
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Gender | Female
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 108 ERIN CT
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City | HILLSBORO
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State | OH
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Zip | 45133-8591
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Country | US
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Telephone | 937-393-9946
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6179 4449 ST RT 159
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City | CHILLICOTHEE
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State | OH
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Zip | 45601-6179
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S2513313
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2404022-TRNE
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License Number State | OH
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