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General NPI Number Information
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NPI Number | 1083761811
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Entity Type | Individual
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Provider Name | ANNE MARIE CLINE DDS
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 3001 S LAMAR BLVD STE 100
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City | AUSTIN
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State | TX
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Zip | 78704-4794
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Country | US
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Telephone | 512-442-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 619 TURQUOISE DR
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-2194
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Country | US
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Telephone | 337-401-2307
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5435
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License Number State | OK
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