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General NPI Number Information
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NPI Number | 1275040347
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Entity Type | Organization
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Legal Business Name | DOUGLAS J. ALTERMAN, D.M.D., P.A.
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Dates
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Enumeration Date | 01/10/2018
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Last Update Date | 10/09/2023
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Provider Practice Location Address
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Address Line | 86 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29401-1725
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Country | US
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Telephone | 843-577-5210
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Fax | 843-722-8107
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Provider Business Mailing Address
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Address Line | 86 RUTLEDGE AVE
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City | CHARLESTON
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State | SC
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Zip | 29401-1725
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Country | US
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Telephone | 843-577-5210
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Fax | 843-722-8107
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | MS. JENNI TOMLINSON
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Credential |
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Telephone | 843-577-5210
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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 |
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License Number State |
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