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General NPI Number Information
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NPI Number | 1164523031
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Entity Type | Organization
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Legal Business Name | ORAL HEALTH MANAGEMENT PLLC
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 11/19/2008
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Provider Practice Location Address
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Address Line | 177 MAIN STREET
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City | HENDERSONVILLE
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State | TN
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Zip | 37075
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Country | US
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Telephone | 615-824-4833
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Fax |
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Provider Business Mailing Address
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Address Line | 2502 N ROCKY POINT DR SUITE 1000
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City | TAMPA
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State | FL
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Zip | 33607-1421
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | PATRICIA HUIE
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Credential |
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Telephone | 813-288-1999
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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 |
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License Number State | TN
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