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General NPI Number Information
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NPI Number | 1689711327
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Entity Type | Individual
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Provider Name | ALEXANDER GENKIN DMD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10108 BUSTLETON AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3704
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Country | US
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Telephone | 215-677-3904
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Fax | 215-677-2401
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Provider Business Mailing Address
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Address Line | 2284 DORCHESTER ST W
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City | FURLONG
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State | PA
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Zip | 18925-1529
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Country | US
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Telephone | 267-980-5941
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS031567
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License Number State | PA
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