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General NPI Number Information
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NPI Number | 1093267866
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Entity Type | Organization
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Legal Business Name | BELA FAMILY DENTISTRY OF AUGUSTA
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Dates
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Enumeration Date | 10/27/2016
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Last Update Date | 10/27/2016
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Provider Practice Location Address
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Address Line | 2325 WASHINGTON RD
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City | AUGUSTA
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State | GA
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Zip | 30904-3105
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Country | US
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Telephone | 315-460-6491
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1664
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City | LEXINGTON
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State | SC
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Zip | 29071-1664
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Country | US
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Telephone | 803-637-4616
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Fax |
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Authorized Official
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Title or Position | FINANCIAL / INSURANCE COORDINATOR
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Name | MRS. MICHELLE SWEGER
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Credential |
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Telephone | 315-460-6491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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