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General NPI Number Information
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NPI Number | 1114931896
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Entity Type | Individual
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Provider Name | DENNIS DAVIS BOND SR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/28/2006
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Last Update Date | 02/23/2011
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Provider Practice Location Address
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Address Line | 499 GLOSTER CREEK VLG STE F5A SUITE F-5A
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City | TUPELO
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State | MS
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Zip | 38801-4631
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Country | US
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Telephone | 662-844-9580
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Fax |
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Provider Business Mailing Address
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Address Line | 4463 EAST DR
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City | BELDEN
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State | MS
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Zip | 38826-9597
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Country | US
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Telephone | 662-680-3864
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2045-83
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License Number State | MS
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