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General NPI Number Information
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NPI Number | 1770690950
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Entity Type | Individual
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Provider Name | ELIZABETH ANN ALCORN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1358 ALLEN FARM LN
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City | EARLYSVILLE
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State | VA
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Zip | 22936-1853
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Country | US
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Telephone | 434-690-6990
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Fax | 434-974-1760
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Provider Business Mailing Address
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Address Line | 1358 ALLEN FARM LN
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City | EARLYSVILLE
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State | VA
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Zip | 22936-1853
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Country | US
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Telephone | 434-690-6990
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Fax | 434-974-1760
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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 | 7259
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License Number State | VA
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