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General NPI Number Information
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NPI Number | 1720857063
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Entity Type | Organization
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Legal Business Name | ALVEY & SOBIN INDIAN TRAIL PLLC
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 6611 OLD MONROE RD
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5352
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Country | US
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Telephone | 704-218-2132
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Fax |
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Provider Business Mailing Address
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Address Line | 6611 OLD MONROE RD
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City | INDIAN TRAIL
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State | NC
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Zip | 28079-5352
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Country | US
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Telephone | 704-218-2132
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. IAN ALVEY
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Credential | DMD
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Telephone | 803-627-1906
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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 |
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License Number State |
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