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General NPI Number Information
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NPI Number | 1154863223
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Entity Type | Individual
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Provider Name | ALTON ANDERSON II D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/07/2016
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Last Update Date | 01/22/2025
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Provider Practice Location Address
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Address Line | 422 N CHURCH ST
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City | ASHEBORO
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State | NC
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Zip | 27203-4702
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Country | US
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Telephone | 336-625-1319
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Fax |
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Provider Business Mailing Address
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Address Line | 209 FOXBOROUGH LN
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City | DURHAM
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State | NC
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Zip | 27703-7899
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Country | US
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Telephone | 919-632-2186
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 10527
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10527
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License Number State | NC
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