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General NPI Number Information
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NPI Number | 1891528295
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Entity Type | Organization
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Legal Business Name | GAUVEY ALEXANDER REAL ESTATE HOLDINGS LLC
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Dates
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Enumeration Date | 08/21/2024
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 400 S OAK ST STE 110
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City | ROANOKE
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State | TX
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Zip | 76262-6789
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Country | US
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Telephone | 469-763-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 400 S OAK ST STE 110
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City | ROANOKE
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State | TX
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Zip | 76262-6789
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Country | US
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Telephone | 469-763-0182
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LEENA ANNIE ALEXANDER
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Credential | DDS
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Telephone | 469-763-0182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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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 |
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License Number State |
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