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General NPI Number Information
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NPI Number | 1821979329
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Entity Type | Individual
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Provider Name | ALEXANDRIA BRUNKOW PH.D
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Gender | Female
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 10/24/2025
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Provider Practice Location Address
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Address Line | 45 LYME RD STE 300
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City | HANOVER
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State | NH
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Zip | 03755-1223
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Country | US
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Telephone | 603-755-6535
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Fax | 603-389-9331
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Provider Business Mailing Address
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Address Line | 45 LYME RD STE 300
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City | HANOVER
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State | NH
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Zip | 03755-1223
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Country | US
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Telephone | 603-755-6535
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Fax | 603-389-9331
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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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 7125
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | PS02375
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License Number State | RI
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