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General NPI Number Information
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NPI Number | 1982816898
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Entity Type | Organization
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Legal Business Name | FRED A. ALGER, D.D.S.,M.S., LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 221 N HAMILTON RD
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City | GAHANNA
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State | OH
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Zip | 43230-2605
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Country | US
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Telephone | 614-478-7757
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Fax |
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Provider Business Mailing Address
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Address Line | 221 N HAMILTON RD
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City | GAHANNA
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State | OH
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Zip | 43230-2605
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE COORDINATOR
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Name | ROSEMARY ALGER
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Credential |
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Telephone | 614-478-7757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 17922
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License Number State | OH
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