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General NPI Number Information
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NPI Number | 1184393902
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Entity Type | Individual
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Provider Name | AMBER ELIZABETH WERE DDS
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Gender | Female
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Dates
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Enumeration Date | 09/07/2021
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Last Update Date | 09/20/2021
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Provider Practice Location Address
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Address Line | 8180 MALL PKWY STE 810
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City | STONECREST
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State | GA
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Zip | 30038-6911
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Country | US
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Telephone | 770-484-4994
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Fax |
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Provider Business Mailing Address
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Address Line | 2740 E COLLEGE AVE APT 120
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City | DECATUR
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State | GA
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Zip | 30030-3124
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Country | US
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Telephone | 309-361-3995
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN122493
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License Number State | GA
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