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General NPI Number Information
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NPI Number | 1053585844
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Entity Type | Organization
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Legal Business Name | HAMBLIN FAMILY DENTISTRY, PC
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Dates
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Enumeration Date | 04/14/2008
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 3230 PEOPLES DR SUITE 220
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City | HARRISONBURG
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State | VA
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Zip | 22801-7623
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Country | US
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Telephone | 540-801-0150
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Fax | 540-801-0152
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Provider Business Mailing Address
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Address Line | 3230 PEOPLES DR SUITE 220
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City | HARRISONBURG
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State | VA
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Zip | 22801-7623
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Country | US
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Telephone | 540-801-0150
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Fax | 540-801-0152
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MERINDA HAMBLIN
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Credential | D.M.D.
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Telephone | 540-801-0150
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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 | 0401410732
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License Number State | VA
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