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General NPI Number Information
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NPI Number | 1083139729
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Entity Type | Individual
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Provider Name | ALEXANDRA SALEN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/03/2017
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Last Update Date | 08/03/2017
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Provider Practice Location Address
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Address Line | 2086 ROMIG RD
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City | AKRON
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State | OH
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Zip | 44320-3820
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Country | US
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Telephone | 330-753-3007
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Fax | 330-680-5502
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Provider Business Mailing Address
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Address Line | 8865 SOUTH ST SE
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City | WARREN
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State | OH
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Zip | 44484-2335
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Country | US
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Telephone | 814-440-2054
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.025191
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License Number State | OH
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