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General NPI Number Information
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NPI Number | 1295367472
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Entity Type | Organization
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Legal Business Name | DENTAL NOW 14
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 1200 SHERWOOD PARK DR NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3445
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Country | US
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Telephone | 678-831-4414
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Fax | 678-383-4472
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Provider Business Mailing Address
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Address Line | 1200 SHERWOOD PARK DR NE
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City | GAINESVILLE
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State | GA
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Zip | 30501-3445
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Country | US
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Telephone | 678-831-4414
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Fax | 678-383-4472
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Authorized Official
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Title or Position | INSURANCE SPECIALIST
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Name | DACIA GARAY
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Credential |
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Telephone | 678-831-4414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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