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General NPI Number Information
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NPI Number | 1205810686
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Entity Type | Individual
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Provider Name | VENITA C FREEMAN DDS
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Gender | Female
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 07/02/2013
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Provider Practice Location Address
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Address Line | 920 DANNON VIEW SUITE 3102
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City | ATLANTA
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State | GA
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Zip | 30331-2158
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Country | US
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Telephone | 404-349-7646
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Fax | 404-349-7647
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Provider Business Mailing Address
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Address Line | 920 DANNON VIEW SUITE 3102
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City | ATLANTA
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State | GA
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Zip | 30331-2158
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Country | US
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Telephone | 404-349-7646
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Fax | 404-349-7647
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 6231
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License Number State | AZ
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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 | DN013443
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License Number State | GA
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