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General NPI Number Information
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NPI Number | 1003973520
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Entity Type | Individual
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Provider Name | JAMES LONNIE HELTON III D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 09/06/2012
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Provider Practice Location Address
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Address Line | 623 E BROAD ST
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City | EUFAULA
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State | AL
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Zip | 36027-1710
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Country | US
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Telephone | 334-687-4741
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Fax | 334-687-0869
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Provider Business Mailing Address
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Address Line | 238 SANFORD AVE
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City | EUFAULA
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State | AL
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Zip | 36027-1426
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Country | US
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Telephone | 334-687-6106
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4847
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License Number State | AL
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