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General NPI Number Information
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NPI Number | 1184789281
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Entity Type | Individual
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Provider Name | ISABEL GHOWANLU DRIGGERS DMD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1000 TANNER FORD BLVD SUITE 370
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City | HANAHAN
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State | SC
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Zip | 29410-4707
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Country | US
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Telephone | 843-818-5437
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Fax | 843-725-1594
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Provider Business Mailing Address
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Address Line | 1000 TANNER FORD BLVD SUITE 370
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City | HANAHAN
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State | SC
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Zip | 29410-4707
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Country | US
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Telephone | 843-818-5437
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Fax | 843-725-1594
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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 | DN013076
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | SC3889
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License Number State | SC
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