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General NPI Number Information
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NPI Number | 1861153546
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Entity Type | Individual
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Provider Name | ALEXANDRIA DUNSWORTH LMSW
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Gender | Female
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 04/10/2023
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Provider Practice Location Address
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Address Line | 825 VILLAGE SQUARE DR STE 2
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City | TOMBALL
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State | TX
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Zip | 77375-5083
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Country | US
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Telephone | 832-299-8863
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Fax |
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Provider Business Mailing Address
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Address Line | 3014 PINE CHASE DR
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City | MONTGOMERY
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State | TX
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Zip | 77356-8916
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Country | US
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Telephone | 405-421-6189
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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 | 105579
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License Number State | TX
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