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General NPI Number Information
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NPI Number | 1124127626
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Entity Type | Individual
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Provider Name | WILLIAM BERNARD GROSS DDS
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Gender | Male
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 12/09/2019
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Provider Practice Location Address
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Address Line | 10970 CHAPEL HILL ROAD
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City | MORRISVILLE
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State | NC
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Zip | 27560-2801
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Country | US
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Telephone | 201-404-1798
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Fax |
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Provider Business Mailing Address
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Address Line | 10970 CHAPEL HILL ROAD
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City | MORRISVILLE
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State | NC
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Zip | 27560-2801
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Country | US
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Telephone | 201-404-1798
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 10539
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10539
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License Number State | NC
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