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General NPI Number Information
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NPI Number | 1134057375
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Entity Type | Individual
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Provider Name | ALENA MAE GRAVES DMD
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Gender | Female
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Dates
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Enumeration Date | 05/09/2026
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Last Update Date | 06/19/2026
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Provider Practice Location Address
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Address Line | 1033 ROBERTS BRANCH PKWY STE 103
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City | COLUMBIA
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State | SC
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Zip | 29203-9148
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Country | US
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Telephone | 803-339-8542
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Fax |
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Provider Business Mailing Address
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Address Line | 3215 TRADE STREET
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City | WEST COLUMBIA
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State | SC
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Zip | 29169
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Country | US
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Telephone | 269-967-0428
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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 | DGD.11473.GD
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License Number State | SC
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