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NPI 1295288322

NPI 1295288322 : VALARIE MICHELLE DOZIER D.D.S. : THOMASVILLE, GA

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General NPI Number Information
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    NPI Number           |    1295288322
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    Entity Type          |    Individual 
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    Provider Name        |    VALARIE MICHELLE DOZIER D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/25/2016
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    Last Update Date     |    07/25/2016
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Provider Practice Location Address
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    Address Line         |    2515 US HIGHWAY 319 S 
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    City                 |    THOMASVILLE
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    State                |    GA
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    Zip                  |    31792-0439
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    Country              |    US
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    Telephone            |    402-276-4552
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    Fax                  |    229-377-4874
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Provider Business Mailing Address
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    Address Line         |    4910 N MONROE ST APT G206 
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    City                 |    TALLAHASSEE
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    State                |    FL
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    Zip                  |    32303-7054
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    Country              |    US
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    Telephone            |    402-276-4552
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    Fax                  |    229-377-4874
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    DN015160
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    License Number State |    GA
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