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General NPI Number Information
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NPI Number | 1093095432
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Entity Type | Organization
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Legal Business Name | JAMES M. ROLLINS, D.D.S.,P.C.
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Dates
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Enumeration Date | 08/17/2011
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Last Update Date | 08/17/2011
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Provider Practice Location Address
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Address Line | 394 WEST MAIN STREET B-3
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3348
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Country | US
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Telephone | 615-824-9774
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Fax | 615-826-1693
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Provider Business Mailing Address
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Address Line | P.O. BOX 1157 394 WEST MAIN STREET B-3
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3348
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Country | US
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Telephone | 615-824-9774
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Fax | 615-826-1693
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES MARTIN ROLLINS
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Credential | D.D.S.
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Telephone | 615-824-9774
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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 | DS002500
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License Number State | TN
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