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General NPI Number Information
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NPI Number | 1861101974
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Entity Type | Individual
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Provider Name | DENISE HILLIS ALEXANDER
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Gender | Female
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 12/05/2022
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Provider Practice Location Address
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Address Line | 4000 FORT CAMPBELL BLVD STE G4
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-4967
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Country | US
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Telephone | 270-885-2106
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 FORT CAMPBELL BLVD STE G4
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City | HOPKINSVILLE
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State | KY
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Zip | 42240-4967
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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 | 7340
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License Number State | KY
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