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General NPI Number Information
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NPI Number | 1548092174
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Entity Type | Individual
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Provider Name | ALEXIS RACHAEL DEARBORN DMD
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Gender | Female
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Dates
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Enumeration Date | 08/14/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 153 GABRIEL CIR APT 7
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City | NAPLES
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State | FL
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Zip | 34104-8437
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Country | US
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Telephone | 609-204-6903
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Fax |
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Provider Business Mailing Address
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Address Line | 153 GABRIEL CIR APT 7
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City | NAPLES
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State | FL
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Zip | 34104-8437
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Country | US
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Telephone | 609-204-6903
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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 | DN30075
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License Number State | FL
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