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General NPI Number Information
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NPI Number | 1174703664
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Entity Type | Organization
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Legal Business Name | DR. SHARON LONG-STOKES, D.D.S., P.A.
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 106 S MURROW BLVD STE 100
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City | GREENSBORO
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State | NC
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Zip | 27401-2944
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Country | US
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Telephone | 336-275-9922
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Fax | 336-275-0040
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Provider Business Mailing Address
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Address Line | 106 S MURROW BLVD STE 100
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City | GREENSBORO
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State | NC
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Zip | 27401-2944
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Country | US
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Telephone | 336-275-9922
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Fax | 336-275-0040
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHARON ANITA LONG-STOKES
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Credential | D.D.S.
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Telephone | 336-275-9922
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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 | 6452
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License Number State | NC
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