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General NPI Number Information
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NPI Number | 1609363795
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Entity Type | Individual
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Provider Name | ALEXANDRIA GENE MAXSON HOY DMD
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Gender | Female
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 16655 W BLUEMOUND RD STE 380
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City | BROOKFIELD
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State | WI
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Zip | 53005-5939
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Country | US
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Telephone | 262-796-1270
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Fax |
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Provider Business Mailing Address
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Address Line | 16655 W BLUEMOUND RD
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City | BROOKFIELD
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State | WI
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Zip | 53005-5957
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Country | US
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Telephone | 262-786-1270
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 10140
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6001148-15
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License Number State | WI
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