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General NPI Number Information
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NPI Number | 1740179167
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Entity Type | Individual
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Provider Name | ALEC HILDRETH
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Gender | Male
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 6161 LAKE BRANDT RD UNIT A
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City | GREENSBORO
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State | NC
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Zip | 27455-8415
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Country | US
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Telephone | 336-643-1440
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Fax |
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Provider Business Mailing Address
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Address Line | 250 S ESTES DR APT 30
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City | CHAPEL HILL
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State | NC
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Zip | 27514-7004
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Country | US
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Telephone | 336-339-7615
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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 | 14272
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License Number State | NC
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