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General NPI Number Information
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NPI Number | 1225191760
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Entity Type | Organization
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Legal Business Name | CENTER FOR SEDATION AND ADVANCED DENTISTRY PC
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 12/12/2008
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Provider Practice Location Address
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Address Line | 208 PEARL ST
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City | DARLINGTON
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State | SC
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Zip | 29532-3811
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Country | US
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Telephone | 843-393-3434
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Fax | 843-238-8889
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Provider Business Mailing Address
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Address Line | PO BOX 14674
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City | SURFSIDE BEACH
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State | SC
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Zip | 29587-4674
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Country | US
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Telephone | 843-393-3434
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Fax | 843-238-8889
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM E ALTMAN
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Credential | DDS
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Telephone | 843-393-3434
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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 |
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License Number State |
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