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General NPI Number Information
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NPI Number | 1285881227
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Entity Type | Organization
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Legal Business Name | COMMUNITY DENTAL SERVICES INC
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Dates
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Enumeration Date | 08/21/2008
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 5761 MABLETON PARKWAY
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City | MABLETON
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State | GA
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Zip | 30126
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Country | US
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Telephone | 770-948-9200
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Fax | 770-944-8887
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Provider Business Mailing Address
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Address Line | 5761 MABLETON PARKWAY
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City | MABLETON
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State | GA
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Zip | 30126
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Country | US
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Telephone | 770-948-9200
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Fax | 770-944-8887
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMES L STEINHAUS
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Credential | DDS
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Telephone | 770-948-9200
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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 | 7937
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License Number State | GA
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