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General NPI Number Information
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NPI Number | 1780675694
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Entity Type | Individual
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Provider Name | ALEXANDRA GLANTS D.D.S
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Gender | Female
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 251 CLIFTON AVE
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City | CLIFTON
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State | NJ
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Zip | 07011-1961
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Country | US
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Telephone | 973-478-1714
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Fax |
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Provider Business Mailing Address
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Address Line | 7-24 OAK ST
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City | FAIR LAWN
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State | NJ
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Zip | 07410-1533
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Country | US
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Telephone | 201-887-8373
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 22421
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License Number State | NJ
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