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General NPI Number Information
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NPI Number | 1194394023
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Entity Type | Individual
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Provider Name | AMBER MCPHERSON DMD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2021
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Last Update Date | 06/24/2021
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Provider Practice Location Address
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Address Line | 2967 WHITE MOUNTAIN HWY
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City | NORTH CONWAY
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State | NH
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Zip | 03860-5111
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Country | US
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Telephone | 603-356-2566
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Fax |
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Provider Business Mailing Address
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Address Line | 236 HOBBS ST
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City | CONWAY
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State | NH
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Zip | 03818-6132
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Country | US
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Telephone | 603-986-5474
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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 | 04656
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License Number State | NH
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