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General NPI Number Information
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NPI Number | 1174942106
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Entity Type | Organization
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Legal Business Name | TIMOTHY S. SPILLIARDS, DMD, PA
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Dates
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Enumeration Date | 04/07/2014
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Last Update Date | 04/07/2014
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Provider Practice Location Address
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Address Line | 230 POPLAR DR
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City | SYLVA
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State | NC
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Zip | 28779-5229
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Country | US
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Telephone | 828-586-0404
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Fax | 828-631-0123
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Provider Business Mailing Address
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Address Line | 230 POPLAR DR
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City | SYLVA
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State | NC
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Zip | 28779-5229
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Country | US
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Telephone | 828-586-0404
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Fax | 828-631-0123
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Authorized Official
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Title or Position | OWNER
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Name | DR. TIMOTHY S SPILLIARDS
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Credential | DMD, PA
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Telephone | 828-586-0404
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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 | 7810
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License Number State | NC
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