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General NPI Number Information
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NPI Number | 1255454336
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Entity Type | Organization
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Legal Business Name | JAMES G ALEXANDER JR DDS MD PLLC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 11/17/2008
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Provider Practice Location Address
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Address Line | 228 W TYLER AVE STE 307
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City | WEST MEMPHIS
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State | AR
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Zip | 72301-4223
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Country | US
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Telephone | 870-735-1152
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Fax | 870-735-4098
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Provider Business Mailing Address
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Address Line | 228 W TYLER AVE STE 307 P.O. BOX 907
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City | WEST MEMPHIS
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State | AR
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Zip | 72303-0907
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Country | US
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Telephone | 870-735-1152
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Fax | 870-735-4098
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Authorized Official
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Title or Position | PLLC MEMBER
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Name | DR. JAMES G ALEXANDER JR.
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Credential | M.D.
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Telephone | 870-735-1152
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AR3562
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License Number State | AR
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