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General NPI Number Information
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NPI Number | 1306243043
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Entity Type | Organization
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Legal Business Name | DARRELL G. DAY, DDS PA
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Dates
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Enumeration Date | 11/24/2014
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Last Update Date | 11/24/2014
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Provider Practice Location Address
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Address Line | 4501 MATLOCK RD SUITE 301
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City | ARLINGTON
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State | TX
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Zip | 76018-1004
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Country | US
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Telephone | 817-472-0888
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Fax | 817-472-9753
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Provider Business Mailing Address
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Address Line | 4501 MATLOCK RD SUITE 301
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City | ARLINGTON
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State | TX
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Zip | 76018-1004
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Country | US
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Telephone | 817-472-0888
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Fax | 817-472-9753
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Authorized Official
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Title or Position | OWNER / DENTIST
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Name | DARRELL G DAY
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Credential | DDS
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Telephone | 817-472-0888
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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 | 20868
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License Number State | TX
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