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General NPI Number Information
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NPI Number | 1750341046
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Entity Type | Individual
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Provider Name | ALEXANDER LEYTE-VIDAL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 08/06/2015
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Provider Practice Location Address
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Address Line | 35 WINDSORMERE WAY
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City | OVIEDO
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State | FL
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Zip | 32765-6592
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Country | US
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Telephone | 407-971-4444
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Fax | 407-971-6333
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Provider Business Mailing Address
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Address Line | 35 WINDSORMERE WAY
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City | OVIEDO
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State | FL
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Zip | 32765-6592
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Country | US
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Telephone | 407-971-4444
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Fax | 407-971-6333
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN-0014758
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4806
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License Number State | WI
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