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General NPI Number Information
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NPI Number | 1144553181
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Entity Type | Organization
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Legal Business Name | JAMES ALEXANDER, DMD, PA
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Dates
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Enumeration Date | 09/09/2009
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Last Update Date | 09/09/2009
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Provider Practice Location Address
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Address Line | 46 TUSCAN WAY STE. 306
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-1849
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Country | US
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Telephone | 904-940-5757
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Fax |
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Provider Business Mailing Address
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Address Line | 46 TUSCAN WAY STE. 306
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City | ST AUGUSTINE
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State | FL
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Zip | 32092-1849
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Country | US
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Telephone | 904-940-5757
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/DENTIST
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Name | DR. JAMES PHILIP ALEXANDER
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Credential | DMD
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Telephone | 904-940-5757
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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 | DN18361
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License Number State | FL
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