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General NPI Number Information
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NPI Number | 1750065496
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Entity Type | Individual
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Provider Name | ALEXIS M GIBBS DMD
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Gender | Female
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Dates
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Enumeration Date | 06/13/2023
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 1929 1ST AVE
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City | OPELIKA
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State | AL
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Zip | 36801-5403
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Country | US
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Telephone | 334-525-5216
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Fax |
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Provider Business Mailing Address
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Address Line | 1929 1ST AVE
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City | OPELIKA
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State | AL
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Zip | 36801-5403
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Country | US
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Telephone | 334-525-5216
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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 | DN123061
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License Number State | GA
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