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General NPI Number Information
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NPI Number | 1861122509
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Entity Type | Individual
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Provider Name | ALEXA MARIE CHIRICHELLA
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Gender | Female
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Dates
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Enumeration Date | 06/15/2022
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Last Update Date | 06/15/2022
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Provider Practice Location Address
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Address Line | 55 MADISON AVE
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City | MORRISTOWN
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State | NJ
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Zip | 07960-7337
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Country | US
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Telephone | 973-647-5505
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Fax |
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Provider Business Mailing Address
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Address Line | 5 SUGARLOAF PL
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City | MANALAPAN
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State | NJ
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Zip | 07726-8186
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Country | US
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Telephone | 732-995-7780
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS01033300
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License Number State | NJ
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