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General NPI Number Information
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NPI Number | 1295279180
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Entity Type | Organization
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Legal Business Name | BIEHL AND WELCH COSMETIC AND FAMILY DENTISTRY
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 105 BEN CASEY DR SUITE 139
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City | FORT MILL
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State | SC
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Zip | 29708-8561
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Country | US
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Telephone | 803-547-5002
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Fax |
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Provider Business Mailing Address
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Address Line | 105 BEN CASEY DR SUITE 139
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City | FORT MILL
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State | SC
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Zip | 29708-8561
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Country | US
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Telephone | 803-547-5002
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KIMBERLY BIWHL
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Credential |
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Telephone | 803-547-5002
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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 | 4605
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3644
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License Number State | SC
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