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NPI 1295841534

NPI 1295841534 : HAROLD W MADDEN DDS : SANFORD, NC

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General NPI Number Information
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    NPI Number           |    1295841534
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    Entity Type          |    Individual 
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    Provider Name        |    HAROLD W MADDEN DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/21/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1301 CARTHAGE ST 
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    City                 |    SANFORD
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    State                |    NC
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    Zip                  |    27330-8984
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    Country              |    US
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    Telephone            |    919-774-4433
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    Fax                  |    919-775-4041
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Provider Business Mailing Address
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    Address Line         |    8512 SUGAR CREEK DR 
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    City                 |    SANFORD
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    State                |    NC
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    Zip                  |    27332-7571
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    Country              |    US
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    Telephone            |    919-774-4299
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    5031
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    License Number State |    NC
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