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General NPI Number Information
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NPI Number | 1932709482
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Entity Type | Individual
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Provider Name | ALEXXIS NICOLE WARFORD
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Gender | Female
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 505 W UNIVERSITY AVE STE 105
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City | GEORGETOWN
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State | TX
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Zip | 78626-6643
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Country | US
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Telephone | 512-876-2263
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Fax | 817-516-9102
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Provider Business Mailing Address
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Address Line | PO BOX 173038
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City | ARLINGTON
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State | TX
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Zip | 76003-3038
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Country | US
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Telephone | 817-516-9100
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Fax | 817-516-9102
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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