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General NPI Number Information
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NPI Number | 1275047904
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Entity Type | Organization
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Legal Business Name | DANIEL A KING DDS, PC
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Dates
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Enumeration Date | 11/16/2017
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Last Update Date | 11/16/2017
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Provider Practice Location Address
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Address Line | 3455 OLD ALABAMA RD
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City | ALPHARETTA
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State | GA
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Zip | 30022-5526
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Country | US
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Telephone | 770-777-1222
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Fax | 678-336-1597
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Provider Business Mailing Address
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Address Line | 3455 OLD ALABAMA RD
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City | ALPHARETTA
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State | GA
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Zip | 30022-5526
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Country | US
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Telephone | 770-777-1222
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Fax | 678-336-1597
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Authorized Official
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Title or Position | COO
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Name | MARCIA CLARK HARVEY
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Credential |
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Telephone | 770-756-7035
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN012919
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License Number State | GA
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