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General NPI Number Information
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NPI Number | 1073917399
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Entity Type | Organization
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Legal Business Name | FERRELL FAMILY DENTAL, P.C.
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Dates
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Enumeration Date | 10/15/2014
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Last Update Date | 10/22/2014
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Provider Practice Location Address
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Address Line | 8154 HWY 59 SUITE 217
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City | FOLEY
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State | AL
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Zip | 36535
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Country | US
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Telephone | 251-970-1600
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Fax | 866-316-5030
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Provider Business Mailing Address
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Address Line | 1545 GULF SHORES PKWY PMB 302
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City | GULF SHORES
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State | AL
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Zip | 36542-3435
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Country | US
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Telephone | 251-970-1600
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Fax | 866-316-5030
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT SEAN FERRELL
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Credential | D.D.S.
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Telephone | 251-970-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5861
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License Number State | AL
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