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NPI 1063719763

NPI 1063719763 : TERRY J. BILLINGS, DDS AP : METAIRIE, LA

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General NPI Number Information
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    NPI Number           |    1063719763
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    Entity Type          |    Organization 
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    Legal Business Name  |    TERRY J. BILLINGS, DDS AP 
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Dates
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    Enumeration Date     |    02/16/2011
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    Last Update Date     |    09/13/2012
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Provider Practice Location Address
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    Address Line         |    3101 7TH ST 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70002-1714
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    Country              |    US
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    Telephone            |    504-832-2222
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    Fax                  |    504-832-2111
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Provider Business Mailing Address
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    Address Line         |    3101 7TH ST 
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    City                 |    METAIRIE
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    State                |    LA
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    Zip                  |    70002-1714
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    Country              |    US
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    Telephone            |    504-832-2222
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    Fax                  |    504-832-2111
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. TERRY J. BILLINGS 
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    Credential           |    DDS
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    Telephone            |    504-832-2222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332BC3200X
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    Taxonomy Name        |    Customized Equipment (DME)
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    License Number       |    
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    License Number State |    
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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       |    3524
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    License Number State |    LA
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