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General NPI Number Information
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NPI Number | 1538201124
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Entity Type | Individual
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Provider Name | ALEXANDER RESNANSKY JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 11/30/2020
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Provider Practice Location Address
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Address Line | 102 FOUNTAIN BROOK CIR STE A
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City | CARY
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State | NC
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Zip | 27511-4476
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Country | US
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Telephone | 919-782-7275
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Fax | 919-782-7388
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Provider Business Mailing Address
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Address Line | 102 FOUNTAIN BROOK CIR STE A
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City | CARY
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State | NC
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Zip | 27511-4476
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Country | US
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Telephone | 919-782-7275
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Fax | 919-782-7388
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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 | 6773
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License Number State | NC
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