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General NPI Number Information
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NPI Number | 1336606003
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Entity Type | Individual
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Provider Name | ALEXANDRA ZEGA D.M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/28/2019
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 2100 N BROAD ST STE 106
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City | LANSDALE
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State | PA
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Zip | 19446-1052
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Country | US
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Telephone | 215-368-8104
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 N BROAD ST STE 106
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City | LANSDALE
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State | PA
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Zip | 19446-1052
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Country | US
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Telephone | 215-368-8104
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS043983
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License Number State | PA
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