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General NPI Number Information
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NPI Number | 1104589787
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Entity Type | Organization
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Legal Business Name | MCLEARY DENTAL ASSOCIATES - SHEFFIELD, LLC
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 10/20/2021
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Provider Practice Location Address
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Address Line | 4012 HATCH BLVD
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City | SHEFFIELD
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State | AL
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Zip | 35660-1938
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Country | US
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Telephone | 256-383-2234
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Fax | 256-978-5667
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Provider Business Mailing Address
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Address Line | 4012 HATCH BLVD
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City | SHEFFIELD
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State | AL
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Zip | 35660-1938
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Country | US
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Telephone | 256-383-2234
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Fax | 256-978-5667
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | FELECIA WADDELL
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Credential |
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Telephone | 256-383-2234
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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 |
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License Number State |
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