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NPI 1740104652

NPI 1740104652 : ALEXANDRA M. HEGERLE, DDS, PLLC : HERNDON, VA

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General NPI Number Information
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    NPI Number           |    1740104652
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    Entity Type          |    Organization 
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    Legal Business Name  |    ALEXANDRA M. HEGERLE, DDS, PLLC 
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Dates
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    Enumeration Date     |    08/05/2026
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    Last Update Date     |    08/05/2026
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Provider Practice Location Address
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    Address Line         |    131 ELDEN ST STE 2C2 
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    City                 |    HERNDON
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    State                |    VA
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    Zip                  |    20170-4850
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    Country              |    US
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    Telephone            |    703-689-2697
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    Fax                  |    703-787-8271
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Provider Business Mailing Address
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    Address Line         |    2798 TIMBERLINE CT 
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    City                 |    OAKTON
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    State                |    VA
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    Zip                  |    22124-1129
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    Country              |    US
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    Telephone            |    703-861-4964
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ALEXANDRA  HEGERLE 
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    Credential           |    DDS
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    Telephone            |    703-861-4964
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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       |    
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    License Number State |    
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