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General NPI Number Information
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NPI Number | 1235395807
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Entity Type | Individual
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Provider Name | FERDINAND CINTRON PADILLA DMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 02/10/2016
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Provider Practice Location Address
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Address Line | 1459 LANEY WALKER BLVD SCHOOL OF DENTISTRY
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City | AUGUSTA
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State | GA
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Zip | 30912-1210
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Country | US
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Telephone | 706-721-2716
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Fax | 706-721-1893
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Provider Business Mailing Address
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Address Line | 2501 HENRY ST
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City | AUGUSTA
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State | GA
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Zip | 30904-4653
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Country | US
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Telephone | 706-414-6904
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN013775
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License Number State | GA
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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 | DN013775
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License Number State | GA
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