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General NPI Number Information
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NPI Number | 1033969324
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Entity Type | Organization
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Legal Business Name | DOCALIGNERS, LLC
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Dates
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Enumeration Date | 03/27/2024
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Last Update Date | 03/27/2024
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Provider Practice Location Address
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Address Line | 2061 EXPERIMENT STATION RD STE 101
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City | WATKINSVILLE
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State | GA
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Zip | 30677-5322
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Country | US
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Telephone | 706-549-0110
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Fax | 770-804-2042
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Provider Business Mailing Address
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Address Line | 705 OGLETHORPE AVE
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City | ATHENS
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State | GA
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Zip | 30606-2289
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Country | US
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Telephone | 706-549-0110
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Fax | 770-804-2042
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. PAMELA FRYE SHIELDS
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Credential |
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Telephone | 706-549-0110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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