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General NPI Number Information
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NPI Number | 1093545071
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Entity Type | Organization
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Legal Business Name | MATTHEW EVERS, DMD, LLC
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 08/05/2024
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Provider Practice Location Address
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Address Line | 383 S PINE ST STE 3
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City | SPARTANBURG
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State | SC
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Zip | 29302-2650
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Country | US
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Telephone | 864-583-7473
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Fax |
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Provider Business Mailing Address
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Address Line | 383 S PINE ST STE 3
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City | SPARTANBURG
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State | SC
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Zip | 29302-2650
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Country | US
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Telephone | 864-583-7473
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE
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Name | JAMES HILL
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Credential | DMD
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Telephone | 864-583-7474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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