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General NPI Number Information
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NPI Number | 1104020569
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Entity Type | Organization
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Legal Business Name | JOHN L GARLINGHOUSE D.M.D.
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2680 E JOYCE BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4554
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Country | US
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Telephone | 479-521-0004
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Fax | 479-443-6542
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Provider Business Mailing Address
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Address Line | 2680 E JOYCE BLVD
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-4554
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Country | US
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Telephone | 479-521-0004
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Fax | 479-443-6542
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Authorized Official
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Title or Position | OWNER
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Name | JOHN L GARLINGHOUSE
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Credential | D.M.D.
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Telephone | 479-521-0004
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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 | 3188
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License Number State | AR
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