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General NPI Number Information
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NPI Number | 1912638396
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Entity Type | Organization
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Legal Business Name | ALICIA ALLEN CONSULTING LLC
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Dates
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Enumeration Date | 06/17/2022
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Last Update Date | 06/17/2022
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Provider Practice Location Address
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Address Line | 10681 AIRPORT PULLING RD N STE 24
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City | NAPLES
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State | FL
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Zip | 34109-7332
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Country | US
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Telephone | 239-600-0577
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Fax | 800-813-9164
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Provider Business Mailing Address
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Address Line | 10681 AIRPORT PULLING RD N STE 24
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City | NAPLES
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State | FL
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Zip | 34109-7332
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Country | US
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Telephone | 239-600-0577
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Fax | 800-813-9164
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | HART MEYRICH
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Credential |
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Telephone | 407-340-9039
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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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