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General NPI Number Information
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NPI Number | 1164452132
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Entity Type | Organization
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Legal Business Name | BRENTON L YOUNG DDS AND PAULINE E CAHILL DDS PA
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 1429 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-3406
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Country | US
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Telephone | 704-482-7986
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Fax | 704-480-9301
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Provider Business Mailing Address
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Address Line | 1429 N LAFAYETTE ST
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City | SHELBY
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State | NC
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Zip | 28150-3406
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Country | US
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Telephone | 704-482-7986
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Fax | 704-480-9301
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Authorized Official
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Title or Position | OWNER - PRESIDENT
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Name | DR. PAULINE E CAHILL
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Credential | DDS
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Telephone | 704-482-7986
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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 | 6658
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License Number State | NC
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