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General NPI Number Information
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NPI Number | 1477392439
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Entity Type | Individual
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Provider Name | PAUL ALEXANDER LIRIANO DMD
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Gender | Male
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 10421 LOVELL CENTER DR
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City | KNOXVILLE
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State | TN
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Zip | 37922-3228
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Country | US
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Telephone | 865-693-9130
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Fax |
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Provider Business Mailing Address
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Address Line | 2361 POPLAR GROVE DR
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City | OOLTEWAH
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State | TN
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Zip | 37363-4335
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Country | US
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Telephone | 423-847-7401
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Fax | 865-693-7039
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 12618
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN123604
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN29442
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License Number State | FL
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