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General NPI Number Information
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NPI Number | 1114814068
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Entity Type | Individual
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Provider Name | ALEXIS MARIE PETTISANI DMD
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Gender | Female
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1500 S LINCOLN AVE
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City | VINELAND
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State | NJ
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Zip | 08361-6610
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Country | US
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Telephone | 856-691-2553
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Fax |
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Provider Business Mailing Address
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Address Line | 113 N NASSAU AVE
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City | MARGATE CITY
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State | NJ
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Zip | 08402-1443
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Country | US
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Telephone | 856-685-9274
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 22DI03100900
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License Number State | NJ
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