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General NPI Number Information
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NPI Number | 1275017733
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Entity Type | Organization
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Legal Business Name | GOLIAD DENTAL PLLC
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Dates
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Enumeration Date | 09/20/2018
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 703 S GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-3935
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Country | US
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Telephone | 972-771-9131
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Fax | 972-772-6980
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Provider Business Mailing Address
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Address Line | 703 S GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-3935
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Country | US
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Telephone | 972-771-9131
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Fax | 972-772-6980
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Authorized Official
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Title or Position | OWNER
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Name | DR. BARNEY MALCOLM BARNHILL
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Credential | DDS
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Telephone | 972-771-9131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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