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General NPI Number Information
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NPI Number | 1659415743
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Entity Type | Organization
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Legal Business Name | ALEX R. MCDONALD, PHD, DDS, INC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 02/16/2011
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Provider Practice Location Address
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Address Line | 3300 WEBSTER ST SUITE 810
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City | OAKLAND
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State | CA
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Zip | 94609-3117
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Country | US
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Telephone | 510-832-4466
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Fax | 510-832-4566
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Provider Business Mailing Address
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Address Line | 3300 WEBSTER ST SUITE 810
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City | OAKLAND
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State | CA
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Zip | 94609-3117
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Country | US
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Telephone | 510-832-4466
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Fax | 510-832-4566
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Authorized Official
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Title or Position | OWNER
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Name | DR. ALEX R. MCDONALD
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Credential | D.D.S., PHD
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Telephone | 510-832-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 42068
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License Number State | CA
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