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General NPI Number Information
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NPI Number | 1972887776
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Entity Type | Individual
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Provider Name | JENNIFER MARIE ALEXANDER D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/28/2011
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Last Update Date | 08/27/2012
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Provider Practice Location Address
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Address Line | 1220 N ADAMS ST.
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City | LEXINGTON
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State | NE
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Zip | 68850-1621
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Country | US
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Telephone | 402-324-7422
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Fax | 308-324-7423
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Provider Business Mailing Address
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Address Line | PO BOX 940 1220 N ADAMS
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City | LEXINGTON
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State | NE
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Zip | 68850-1621
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Country | US
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Telephone | 308-324-7422
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Fax | 308-324-7423
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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 | 6972
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License Number State | NE
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