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General NPI Number Information
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NPI Number | 1366218125
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Entity Type | Organization
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Legal Business Name | H. ALEXANDER CRISP, DMD 2, PLLC
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Dates
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Enumeration Date | 12/01/2023
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 325 HOLLY HILL LN
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City | BURLINGTON
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State | NC
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Zip | 27215-5210
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Country | US
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Telephone | 336-677-4667
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Fax |
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Provider Business Mailing Address
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Address Line | 1 HULME CT
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City | GREENSBORO
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State | NC
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Zip | 27455-9331
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Country | US
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Telephone | 252-292-1349
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | AMY BROOKS
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Credential |
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Telephone | 252-292-1349
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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 |
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License Number State |
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