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General NPI Number Information
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NPI Number | 1063547875
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Entity Type | Organization
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Legal Business Name | SPRING HILL FAMILY DENTAL HEALTH CENTER
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 4270 LAKE IN THE WOODS DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2501
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Country | US
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Telephone | 352-596-1561
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Fax | 352-596-8407
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Provider Business Mailing Address
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Address Line | 4270 LAKE IN THE WOODS DR
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City | SPRING HILL
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State | FL
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Zip | 34607-2501
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Country | US
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Telephone | 352-596-1561
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Fax | 352-596-8407
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. DANIEL A HAUS
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Credential | DDS PA
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Telephone | 352-596-1561
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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 | 5394
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License Number State | FL
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