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General NPI Number Information
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NPI Number | 1003297797
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Entity Type | Organization
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Legal Business Name | THE CROSSINGS DENTAL CENTER
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 2318 JOHN HAWKINS PKWY
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City | HOOVER
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State | AL
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Zip | 35244-3515
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Country | US
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Telephone | 205-987-8997
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Fax | 205-987-2521
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Provider Business Mailing Address
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Address Line | 2318 JOHN HAWKINS PKWY
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City | HOOVER
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State | AL
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Zip | 35244-3515
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Country | US
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Telephone | 205-987-8997
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Fax | 205-987-2521
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DEL MONROE SHOFNER
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Credential | D.M.D
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Telephone | 205-987-8997
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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 |
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License Number State |
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