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General NPI Number Information
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NPI Number | 1245166552
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Entity Type | Individual
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Provider Name | ANNA CLAIRE ELLIS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2026
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Last Update Date | 06/23/2026
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Provider Practice Location Address
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Address Line | 370 BUCKWALTER PKWY
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City | BLUFFTON
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State | SC
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Zip | 29910-5151
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Country | US
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Telephone | 843-837-2035
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Fax |
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Provider Business Mailing Address
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Address Line | 824 COBORN CT
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City | SARTELL
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State | MN
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Zip | 56377-2290
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Country | US
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Telephone |
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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 | DGD.11507.GD
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License Number State | SC
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