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NPI 1316039555

NPI 1316039555 : ANGELA CHRISTEN CANFIELD DDS : RINCON, GA

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General NPI Number Information
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    NPI Number           |    1316039555
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA CHRISTEN CANFIELD DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/28/2006
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    Last Update Date     |    08/07/2017
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Provider Practice Location Address
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    Address Line         |    5871 HWY 21 SOUTH 
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    City                 |    RINCON
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    State                |    GA
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    Zip                  |    31326
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    Country              |    US
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    Telephone            |    912-826-4037
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    Fax                  |    912-826-4825
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Provider Business Mailing Address
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    Address Line         |    372 STONEBRIDGE CIRCLE 
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    City                 |    SAVANNAH
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    State                |    GA
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    Zip                  |    31419
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    Country              |    US
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    Telephone            |    912-341-0403
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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       |    DN013083
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    License Number State |    GA
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