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General NPI Number Information
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NPI Number | 1932508033
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Entity Type | Organization
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Legal Business Name | ALEXANDRA HELFER
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Dates
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Enumeration Date | 08/14/2014
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 25 WALTON ST
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City | LAKEVILLE
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State | CT
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Zip | 06039-1221
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Country | US
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Telephone | 203-788-1763
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Fax |
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Provider Business Mailing Address
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Address Line | 25 WALTON ST
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City | LAKEVILLE
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State | CT
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Zip | 06039-1221
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Country | US
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Telephone | 203-788-1763
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALEXANDRA HELFER
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Credential | LPC, LADC
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Telephone | 203-788-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 2450
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 982
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License Number State | CT
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