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General NPI Number Information
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NPI Number | 1578542262
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Entity Type | Individual
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Provider Name | ANDREW J ALEXANDER DDS
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Gender | Male
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Dates
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Enumeration Date | 01/11/2006
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Last Update Date | 04/04/2024
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Provider Practice Location Address
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Address Line | 6326 RUCKER RD STE. B
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4889
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Country | US
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Telephone | 317-251-4015
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Fax | 317-333-6446
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Provider Business Mailing Address
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Address Line | 2620 E 62ND ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2934
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Country | US
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Telephone | 317-251-2371
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Fax | 317-251-0992
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12010376
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License Number State | IN
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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 | 12009548A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12009548
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License Number State | IN
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