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General NPI Number Information
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NPI Number | 1598250631
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Entity Type | Individual
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Provider Name | ALEXIS RAE GERTLER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/29/2018
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Last Update Date | 06/08/2025
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Provider Practice Location Address
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Address Line | 2499 GLADES RD STE 102
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City | BOCA RATON
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State | FL
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Zip | 33431-7260
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Country | US
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Telephone | 561-362-6000
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Fax |
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Provider Business Mailing Address
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Address Line | 550 SE MIZNER BLVD APT 806B
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City | BOCA RATON
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State | FL
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Zip | 33432-5578
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Country | US
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Telephone | 516-318-2936
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | DN27707
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License Number State | FL
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