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General NPI Number Information
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NPI Number | 1578659900
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Entity Type | Organization
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Legal Business Name | PAUL J. ALEXANDER, D.D.S., P.A.
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 101 E MATTHEWS ST STE. 400
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City | MATTHEWS
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State | NC
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Zip | 28105-4866
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Country | US
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Telephone | 704-845-9399
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Fax | 704-849-9761
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Provider Business Mailing Address
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Address Line | 101 E MATTHEWS ST STE. 400
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City | MATTHEWS
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State | NC
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Zip | 28105-4866
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Country | US
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Telephone | 704-845-9399
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Fax | 704-849-9761
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL J ALEXANDER
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Credential | D.D.S.
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Telephone | 704-845-9399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5889
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License Number State | NC
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