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General NPI Number Information
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NPI Number | 1912437567
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Entity Type | Individual
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Provider Name | ALEXIS DEL ROSARIO DMD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2017
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1231 N TUTTLE AVE
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City | SARASOTA
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State | FL
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Zip | 34237-3116
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Country | US
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Telephone | 941-366-0134
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Fax | 866-622-3009
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Provider Business Mailing Address
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Address Line | 4440 FRUITVILLE RD
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City | SARASOTA
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State | FL
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Zip | 34232-1926
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Country | US
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Telephone | 941-366-0134
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Fax | 941-404-1760
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN22745
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License Number State | FL
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