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General NPI Number Information
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NPI Number | 1538851118
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Entity Type | Individual
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Provider Name | ALAINA GRANIER FRIERSON DDS
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Gender | Female
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Dates
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Enumeration Date | 05/23/2023
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Last Update Date | 07/10/2023
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Provider Practice Location Address
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Address Line | 15382 SAINT CHARLES ST STE A
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City | GULFPORT
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State | MS
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Zip | 39503-3122
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Country | US
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Telephone | 228-832-5300
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Fax |
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Provider Business Mailing Address
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Address Line | 15036 LAURELWOOD DR
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City | GULFPORT
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State | MS
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Zip | 39503-8418
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Country | US
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Telephone | 225-206-4533
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4382-23
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License Number State | MS
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