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General NPI Number Information
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NPI Number | 1194801266
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Entity Type | Individual
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Provider Name | JAMIE JOSEPH ALEXANDER D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 12/14/2009
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Provider Practice Location Address
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Address Line | 2521 S FEDERAL HWY
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-7721
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Country | US
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Telephone | 561-732-3079
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Fax |
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Provider Business Mailing Address
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Address Line | 2030 ALTA MEADOWS LN #1203
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City | DELRAY BEACH
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State | FL
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Zip | 33444-1162
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Country | US
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Telephone |
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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 | DN 16914
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901018825
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License Number State | MI
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