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General NPI Number Information
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NPI Number | 1437541760
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Entity Type | Individual
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Provider Name | ALENA REICH LOTZ DMD
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Gender | Female
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Dates
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Enumeration Date | 02/24/2015
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Last Update Date | 05/13/2024
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Provider Practice Location Address
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Address Line | 4480 N COOPER LAKE RD SE STE 220
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City | SMYRNA
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State | GA
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Zip | 30082-4623
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Country | US
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Telephone | 770-742-2882
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Fax | 770-742-2883
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Provider Business Mailing Address
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Address Line | 4480 N COOPER LAKE RD SE STE 220
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City | SMYRNA
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State | GA
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Zip | 30082-4623
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Country | US
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Telephone | 770-742-2882
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Fax | 770-742-2883
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN015087
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License Number State | GA
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