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General NPI Number Information
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NPI Number | 1013285246
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Entity Type | Organization
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Legal Business Name | AMY CATES, DMD, PC
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Dates
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Enumeration Date | 12/02/2011
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Last Update Date | 02/17/2012
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Provider Practice Location Address
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Address Line | 11 BUFORD VILLAGE WAY SUITE 111
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City | BUFORD
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State | GA
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Zip | 30518-8845
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Country | US
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Telephone | 678-765-8011
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Fax |
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Provider Business Mailing Address
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Address Line | 11 BUFORD VILLAGE WAY SUITE 111
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City | BUFORD
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State | GA
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Zip | 30518-8845
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Country | US
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Telephone | 678-765-8011
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMY CATES
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Credential | DMD
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Telephone | 678-765-8011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 011855
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License Number State | GA
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