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General NPI Number Information
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NPI Number | 1235702416
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Entity Type | Individual
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Provider Name | SARAH WHITLEY STONEFIELD DMD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2021
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Last Update Date | 07/23/2021
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Provider Practice Location Address
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Address Line | 3720 HARDY ST
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City | HATTIESBURG
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State | MS
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Zip | 39402-1550
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Country | US
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Telephone | 601-620-0637
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Fax |
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Provider Business Mailing Address
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Address Line | 138 MCKENZIE DR
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City | ELLISVILLE
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State | MS
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Zip | 39437-8512
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Country | US
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Telephone | 601-319-5802
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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 | 4236-21
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License Number State | MS
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