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General NPI Number Information
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NPI Number | 1912197039
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Entity Type | Organization
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Legal Business Name | ALEXANDER COUNSELING INC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 07/25/2007
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Provider Practice Location Address
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Address Line | 3305 PATRICIA DRIVE
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City | URBANDALE
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State | IA
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Zip | 50322
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Country | US
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Telephone | 515-238-3718
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Fax | 515-270-3863
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Provider Business Mailing Address
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Address Line | 3305 PATRICIA DRIVE
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City | URBANDALE
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State | IA
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Zip | 50322
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Country | US
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Telephone | 515-238-3718
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Fax | 515-270-3863
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Authorized Official
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Title or Position | PRES CEO
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Name | MR. JAMES G ALEXANDER
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Credential | LISW
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Telephone | 515-238-3718
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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 | 02291
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License Number State | IA
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