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General NPI Number Information
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NPI Number | 1093600959
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Entity Type | Individual
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Provider Name | JOHN SMITH SENAT DMD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 2841 GREENBRIAR PKWY SW
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City | ATLANTA
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State | GA
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Zip | 30331-2620
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Country | US
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Telephone | 404-344-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 HAMPTON WAY NE
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City | ATLANTA
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State | GA
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Zip | 30324-4706
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Country | US
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Telephone | 215-756-3411
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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 | DN123786.
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License Number State | GA
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