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General NPI Number Information
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NPI Number | 1295627388
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Entity Type | Individual
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Provider Name | AUBURN ANSLEY MOAK DMD
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 806 MISSISSIPPI DR
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City | WAYNESBORO
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State | MS
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Zip | 39367-2438
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Country | US
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Telephone | 601-735-5086
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Fax |
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Provider Business Mailing Address
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Address Line | 906 COUNTY ROAD 8
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City | STRINGER
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State | MS
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Zip | 39481-4330
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Country | US
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Telephone | 601-577-6686
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111321
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License Number State | MS
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