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General NPI Number Information
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NPI Number | 1346050622
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Entity Type | Organization
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Legal Business Name | ALLA ALEXIS SHRAGER DMD 3 PA
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 202 GRAHAM ST
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City | WARRENTON
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State | NC
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Zip | 27589-1912
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Country | US
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Telephone | 252-257-3736
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 90004
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City | RALEIGH
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State | NC
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Zip | 27675-0004
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Country | US
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Telephone | 412-720-9277
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ALLA ALEXIS SHRAGER
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Credential | DMD
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Telephone | 412-720-9277
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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