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General NPI Number Information
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NPI Number | 1023374824
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Entity Type | Organization
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Legal Business Name | PRAY FAMILY DENTISTRY P.A.
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 218A E SHOCKLEY FERRY RD
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City | ANDERSON
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State | SC
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Zip | 29624-3739
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Country | US
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Telephone | 864-226-4411
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Fax | 864-226-9323
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Provider Business Mailing Address
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Address Line | 218A E SHOCKLEY FERRY RD
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City | ANDERSON
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State | SC
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Zip | 29624-3739
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Country | US
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Telephone | 864-226-4411
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Fax | 864-226-9323
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | ELENA ARZUMANOVA
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Credential |
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Telephone | 864-226-4411
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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 | 4560
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2697
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License Number State | SC
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