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General NPI Number Information
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NPI Number | 1154418762
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Entity Type | Individual
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Provider Name | DANIEL CHRISTOPHER PICARD D.M.D., L.L.C.
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Gender | Male
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 1202 ASHLAND HWY
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City | TALLADEGA
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State | AL
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Zip | 35160-3109
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Country | US
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Telephone | 256-362-4343
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Fax | 256-362-4942
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Provider Business Mailing Address
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Address Line | 1202 ASHLAND HWY
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City | TALLADEGA
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State | AL
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Zip | 35160-3109
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Country | US
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Telephone | 256-362-4343
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Fax | 256-362-4942
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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 | 5172
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License Number State | AL
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