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General NPI Number Information
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NPI Number | 1528889292
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Entity Type | Organization
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Legal Business Name | AP ORTHO, PLLC
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Dates
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Enumeration Date | 10/24/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 23522 WILDERNESS OAK STE 109
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2409
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Country | US
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Telephone | 210-774-4144
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Fax |
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Provider Business Mailing Address
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Address Line | 23522 WILDERNESS OAK STE 109
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2409
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Country | US
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Telephone | 210-774-4144
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. ALEXIS POLCZYNSKI
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Credential | DDS, MS
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Telephone | 618-920-3473
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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 |
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License Number State |
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