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General NPI Number Information
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NPI Number | 1861387219
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Entity Type | Individual
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Provider Name | ALEXIS NASH LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 2717 N GRANDVIEW BLVD STE 102
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City | WAUKESHA
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State | WI
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Zip | 53188-1672
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Country | US
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Telephone | 262-513-0700
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Fax | 888-483-0118
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Provider Business Mailing Address
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Address Line | 2310 14TH AVE
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City | KENOSHA
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State | WI
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Zip | 53140-1810
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Country | US
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Telephone | 224-814-3793
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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