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General NPI Number Information
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NPI Number | 1003252685
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Entity Type | Individual
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Provider Name | MARK EDWARD TURNER DDS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2013
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Last Update Date | 11/14/2017
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Provider Practice Location Address
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Address Line | 2410 NW FEDERAL HWY SUITE A-110
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City | STUART
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State | FL
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Zip | 34994-9314
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Country | US
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Telephone | 772-692-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 197 CROSS ST
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City | BRONX
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State | NY
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Zip | 10464-1225
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Country | US
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Telephone | 845-596-8242
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 22422
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License Number State | FL
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