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General NPI Number Information
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NPI Number | 1316005804
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Entity Type | Individual
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Provider Name | DAVID M VIETH DDS
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 11/17/2021
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Provider Practice Location Address
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Address Line | 210 INTERSTATE NORTH PKWY SE STE 300
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City | ATLANTA
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State | GA
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Zip | 30339-2233
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Country | US
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Telephone | 678-916-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 210 INTERSTATE NORTH PKWY SE STE 300
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City | ATLANTA
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State | GA
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Zip | 30339-2233
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Country | US
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Telephone | 678-916-9000
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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 | 14151
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10002
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901022850
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6021
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License Number State | LA
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Taxonomy #5
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4288
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN21794
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License Number State | MA
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Taxonomy #7
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12010958A
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License Number State | IN
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Taxonomy #8
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8559
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 035093
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License Number State | NY
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