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General NPI Number Information
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NPI Number | 1245151729
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Entity Type | Individual
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Provider Name | ALEX KEITH MACDONALD
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Gender | Male
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 22363 E DOMINGO RD STE 101
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-0353
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Country | US
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Telephone | 480-766-1384
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Fax |
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Provider Business Mailing Address
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Address Line | 22363 E DOMINGO RD STE 101
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-0353
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Country | US
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Telephone | 480-912-2500
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | D012809
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License Number State | AZ
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