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General NPI Number Information
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NPI Number | 1356308910
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Entity Type | Individual
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Provider Name | ALEXANDER SMITH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2006
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Last Update Date | 08/10/2023
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Provider Practice Location Address
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Address Line | 8955 WOOD RD
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City | BETHESDA
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State | MD
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Zip | 20889-5001
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Country | US
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Telephone | 301-395-9515
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Fax |
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Provider Business Mailing Address
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Address Line | 4835 CORDELL AVE APT 1209
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City | BETHESDA
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State | MD
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Zip | 20814-3173
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Country | US
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Telephone | 301-395-9515
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5X412343
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License Number State | NY
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