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General NPI Number Information
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NPI Number | 1083914378
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Entity Type | Organization
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Legal Business Name | THE ART OF DENTISTRY
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/02/2010
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Provider Practice Location Address
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Address Line | 1605 NASHVILLE HWY STE 100
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City | COLUMBIA
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State | TN
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Zip | 38401-2071
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Country | US
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Telephone | 931-381-6880
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Fax | 931-381-3093
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Provider Business Mailing Address
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Address Line | 1605 NASHVILLE HWY STE 100
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City | COLUMBIA
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State | TN
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Zip | 38401-2071
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Country | US
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Telephone | 931-381-6880
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Fax | 931-381-3093
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | HEATHER R BUTLER
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Credential |
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Telephone | 931-381-6880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 292200000X
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Taxonomy Name | Dental Laboratory
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License Number | 7881
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License Number State | TN
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