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General NPI Number Information
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NPI Number | 1013328442
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Entity Type | Organization
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Legal Business Name | VICTORIA C. BETTIS, DDS,LLC
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 14391 LEE HWY
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City | BRISTOL
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State | VA
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Zip | 24202-4319
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Country | US
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Telephone | 276-669-1370
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Fax | 276-669-6348
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Provider Business Mailing Address
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Address Line | 14391 LEE HWY
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City | BRISTOL
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State | VA
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Zip | 24202-4319
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Country | US
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Telephone | 276-669-1370
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Fax | 276-669-6348
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. VICTORIA C BETTIS
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Credential | D.D.S.
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Telephone | 276-669-1370
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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 |
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License Number State |
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