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General NPI Number Information
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NPI Number | 1184914228
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Entity Type | Organization
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Legal Business Name | ERIC J. SADLER, DDS AND ASSOCIATES PA
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Dates
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Enumeration Date | 04/11/2011
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Last Update Date | 04/11/2011
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Provider Practice Location Address
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Address Line | 1037 HOMELAND AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-7003
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Country | US
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Telephone | 336-272-0132
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Fax | 336-272-3644
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Provider Business Mailing Address
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Address Line | 1037 HOMELAND AVE
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City | GREENSBORO
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State | NC
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Zip | 27405-7003
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Country | US
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Telephone | 336-272-0132
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Fax | 336-272-3644
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | ERIC JEROD SADLER
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Credential | D.D.S.
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Telephone | 336-272-0132
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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 | 7481
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 7481
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License Number State | NC
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