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NPI 1275254468

NPI 1275254468 : STOHL & PEARCE MILLS RIVER DENTAL PARTNERSHIP : MILLS RIVER, NC

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General NPI Number Information
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    NPI Number           |    1275254468
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    Entity Type          |    Organization 
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    Legal Business Name  |    STOHL & PEARCE MILLS RIVER DENTAL PARTNERSHIP 
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Dates
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    Enumeration Date     |    09/07/2022
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    Last Update Date     |    09/07/2022
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Provider Practice Location Address
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    Address Line         |    3340 BOYLSTON HIGHWAY UNIT 30
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    City                 |    MILLS RIVER
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    State                |    NC
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    Zip                  |    28759
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    Country              |    US
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    Telephone            |    828-891-7999
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    Fax                  |    828-891-6002
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Provider Business Mailing Address
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    Address Line         |    3340 BOYLSTON HIGHWAY UNIT 30
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    City                 |    MILLS RIVER
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    State                |    NC
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    Zip                  |    28759
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    Country              |    US
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    Telephone            |    828-891-7999
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    Fax                  |    828-891-6002
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Authorized Official
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    Title or Position    |    CO-OWNER
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    Name                 |     BRIAN NATHANIEL PEARCE 
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    Credential           |    DMD
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    Telephone            |    828-891-7999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    
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    License Number State |    
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