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General NPI Number Information
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NPI Number | 1821648874
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Entity Type | Individual
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Provider Name | ALEXIS PUTNAM LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 321 E ALBANY ST
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City | HERKIMER
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State | NY
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Zip | 13350-2016
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Country | US
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Telephone | 315-867-2700
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1301
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Country | US
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Telephone | 607-547-3480
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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 | 107340
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 098194
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License Number State | NY
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