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General NPI Number Information
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NPI Number | 1861112575
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Entity Type | Individual
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Provider Name | ALEXANDRA JACOBSON MERS
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Gender | Female
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Dates
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Enumeration Date | 09/01/2022
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Last Update Date | 09/01/2022
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Provider Practice Location Address
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Address Line | 2650 CAMINO DEL RIO N STE 305
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City | SAN DIEGO
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State | CA
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Zip | 92108-1632
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Country | US
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Telephone | 619-363-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 W 67TH PL
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City | DENVER
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State | CO
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Zip | 80221-2627
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 12122
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License Number State | CA
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