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General NPI Number Information
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NPI Number | 1093862955
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Entity Type | Organization
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Legal Business Name | DINAH B VICE DDS PA
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1801 E FRANKLIN ST
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City | CHAPEL HILL
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State | NC
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Zip | 27514
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Country | US
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Telephone | 919-929-3996
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Fax | 919-942-0146
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Provider Business Mailing Address
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Address Line | 1801 E FRANKLIN ST
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City | CHAPEL HILL
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State | NC
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Zip | 27514
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Country | US
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Telephone | 919-929-3996
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Fax | 919-942-0146
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. CYNTHIA PAULETTE JOLLY
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Credential |
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Telephone | 919-929-3996
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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 | 5428
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License Number State | NC
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