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General NPI Number Information
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NPI Number | 1972313021
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Entity Type | Individual
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Provider Name | ALEXANDRIA CHARGOIS
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Gender | Female
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Dates
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Enumeration Date | 01/10/2025
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 123 EAGLES LANDING PKWY
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-5092
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Country | US
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Telephone | 404-446-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 PICKETT PL
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-4873
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Country | US
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Telephone | 678-315-9217
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Fax |
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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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