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General NPI Number Information
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NPI Number | 1295133791
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Entity Type | Organization
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Legal Business Name | CORRECT CARE SOLUTIONS
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Dates
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Enumeration Date | 12/15/2014
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Last Update Date | 12/15/2014
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Provider Practice Location Address
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Address Line | 6814 PRINCETON PIKE
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City | PINE BLUFF
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State | AR
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Zip | 71602-9411
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Country | US
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Telephone | 870-267-6290
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Fax | 870-267-6295
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Provider Business Mailing Address
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Address Line | 6814 PRINCETON PIKE
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City | PINE BLUFF
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State | AR
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Zip | 71602-9411
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DENTAL DIRECTOR
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Name | DR. MARTIN ZOLDESSY
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Credential | DDS
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Telephone | 879-267-6290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 2145
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License Number State | AR
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