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General NPI Number Information
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NPI Number | 1982743258
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Entity Type | Organization
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Legal Business Name | JO ANN C ALEXANDER PHD PA
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 06/28/2010
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Provider Practice Location Address
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Address Line | 434 N CENTRAL AVE
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City | OVIEDO
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State | FL
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Zip | 32765-8247
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Country | US
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Telephone | 407-366-4394
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Fax |
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Provider Business Mailing Address
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Address Line | 434 N CENTRAL AVE
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City | OVIEDO
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State | FL
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Zip | 32765-8247
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Country | US
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Telephone | 407-366-4394
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Fax |
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Authorized Official
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Title or Position | PRES
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Name | DR. JO ANN C ALEXANDER
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Credential | PHD
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Telephone | 407-366-4394
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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 | MH1408
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License Number State | FL
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