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General NPI Number Information
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NPI Number | 1235176603
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Entity Type | Individual
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Provider Name | FRANK CARL SPARACINO D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8730 NORTHPARK BLVD BUILDING 4, SUITE A
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9265
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Country | US
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Telephone | 843-553-5355
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Fax | 843-797-1718
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Provider Business Mailing Address
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Address Line | 8730 NORTHPARK BLVD BUILDING 4, SUITE A
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9265
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Country | US
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Telephone | 843-553-5355
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Fax | 843-797-1718
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 3960
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License Number State | SC
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