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General NPI Number Information
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NPI Number | 1578638367
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Entity Type | Organization
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Legal Business Name | THOMAS A. ALEXANDER, D.D.S.,P.A.
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/16/2008
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Provider Practice Location Address
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Address Line | 415 S MAIN ST
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City | ROXBORO
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State | NC
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Zip | 27573-5527
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Country | US
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Telephone | 336-599-4145
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Fax |
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Provider Business Mailing Address
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Address Line | 415 S MAIN ST
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City | ROXBORO
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State | NC
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Zip | 27573-5527
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Country | US
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Telephone | 336-599-4145
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. BARBARA R. ALEXANDER
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Credential | R.D.H.
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Telephone | 336-599-4145
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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 | 3865
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License Number State | NC
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