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General NPI Number Information
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NPI Number | 1003783259
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Entity Type | Organization
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Legal Business Name | THE GARDEN DENTISTS, LLC
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Dates
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Enumeration Date | 10/22/2025
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Last Update Date | 10/22/2025
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Provider Practice Location Address
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Address Line | 3426 COLISEUM ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-2427
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Country | US
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Telephone | 504-895-6657
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Fax | 504-899-0017
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Provider Business Mailing Address
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Address Line | 3426 COLISEUM ST
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City | NEW ORLEANS
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State | LA
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Zip | 70115-2427
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Country | US
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Telephone | 504-895-6657
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Fax | 504-899-0017
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Authorized Official
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Title or Position | OWNER
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Name | ROSE HALEY LINE
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Credential | DMD
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Telephone | 504-895-6657
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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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