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General NPI Number Information
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NPI Number | 1295625416
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Entity Type | Individual
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Provider Name | ALESIA ALFEROVA ROCKWELL DMD
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Gender | Female
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 23680 US HIGHWAY 19 N
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City | CLEARWATER
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State | FL
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Zip | 33765-1571
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Country | US
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Telephone | 727-799-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 SEVILLE BLVD APT 20204
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City | CLEARWATER
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State | FL
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Zip | 33764-1178
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Country | US
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Telephone | 484-219-2822
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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 | DN30705
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License Number State | FL
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