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General NPI Number Information
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NPI Number | 1922979384
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Entity Type | Individual
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Provider Name | LEEXANDRA M WATERS B.A
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 129 DILLON DR
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City | SPARTANBURG
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State | SC
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Zip | 29307-1017
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Country | US
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Telephone | 864-582-7588
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Fax | 864-562-4117
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Provider Business Mailing Address
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Address Line | 213 OAKMONT DR
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-9323
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Country | US
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Telephone | 864-582-7588
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Fax | 864-562-4117
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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