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General NPI Number Information
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NPI Number | 1508435199
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Entity Type | Individual
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Provider Name | ALEX MCCREARY WARD DMD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 07/02/2022
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Provider Practice Location Address
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Address Line | 740 SOUTH LIMESTONE A219
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City | LEXINGTON
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State | KY
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Zip | 40536-2960
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Country | US
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Telephone | 859-323-3368
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Fax |
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Provider Business Mailing Address
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Address Line | 608 SANFORD RD
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City | ANDALUSIA
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State | AL
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Zip | 36420-4126
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Country | US
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Telephone | 334-488-1056
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D-0006911-C1
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License Number State | AL
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