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General NPI Number Information
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NPI Number | 1609910678
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Entity Type | Individual
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Provider Name | ERNEST STEPHEN ALDER DDS
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 04/05/2016
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Provider Practice Location Address
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Address Line | 205 NW 6TH AVE
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City | POMPANO BEACH
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State | FL
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Zip | 33060-5908
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Country | US
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Telephone | 954-467-4700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 542437
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City | GREENACRES
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State | FL
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Zip | 33454-2437
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN16119
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D817
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License Number State | AK
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4698
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | D8066
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License Number State | OR
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DE00009340
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License Number State | WA
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Taxonomy #6
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 40052
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DN16119
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License Number State | FL
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