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General NPI Number Information
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NPI Number | 1023237385
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Entity Type | Individual
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Provider Name | ROBERT LIVINGSTON NILES D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1145 KILDAIRE FARM RD SUITE 100
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City | CARY
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State | NC
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Zip | 27511-4594
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Country | US
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Telephone | 919-469-9613
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Fax |
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Provider Business Mailing Address
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Address Line | 1145 KILDAIRE FARM RD SUITE 100
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City | CARY
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State | NC
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Zip | 27511-4594
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Country | US
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Telephone | 919-469-9613
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 4521
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License Number State | NC
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