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General NPI Number Information
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NPI Number | 1871480285
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Entity Type | Individual
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Provider Name | ALEXANDRA JAYNE STEWART SLPA
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Gender | Female
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Dates
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Enumeration Date | 06/19/2025
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Last Update Date | 06/19/2025
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Provider Practice Location Address
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Address Line | 130 DIAMOND CREEK PL STE 120
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City | ROSEVILLE
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State | CA
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Zip | 95747-7592
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Country | US
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Telephone | 916-755-4414
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Fax |
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Provider Business Mailing Address
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Address Line | 35 SAGE RIVER CIR
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City | SACRAMENTO
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State | CA
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Zip | 95831-3371
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Country | US
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Telephone | 916-798-6023
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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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 5965
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License Number State | CA
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