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General NPI Number Information
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NPI Number | 1891040929
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Entity Type | Individual
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Provider Name | ALEXANDRA FORNEY SCHOENHOLTZ D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2012
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 19903 STONE OAK PKWY STE. 103
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6952
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Country | US
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Telephone | 210-293-0101
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Fax | 210-293-0102
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Provider Business Mailing Address
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Address Line | 19903 STONE OAK PKWY STE 103
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City | SAN ANTONIO
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State | TX
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Zip | 78258-6953
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Country | US
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Telephone | 210-293-0101
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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 | 28176
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License Number State | TX
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