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General NPI Number Information
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NPI Number | 1841455003
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Entity Type | Individual
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Provider Name | KAREN KATHLEEN ALEXANDER PH.D
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Gender | Female
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Dates
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Enumeration Date | 07/26/2008
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Last Update Date | 07/26/2008
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Provider Practice Location Address
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Address Line | 1600 CALIFORNIA DR
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City | VACAVILLE
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State | CA
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Zip | 95687
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Country | US
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Telephone | 707-449-6582
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Fax |
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Provider Business Mailing Address
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Address Line | 331 KINGSBERRY CIR P.O. BOX 2926
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City | VACAVILLE
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State | CA
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Zip | 95687-4305
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Country | US
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Telephone | 707-449-6582
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Fax | 707-449-8610
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY16061
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License Number State | CA
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