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NPI 1316290497

NPI 1316290497 : M EDWIN CAYLOR DDS : DALTON, GA

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General NPI Number Information
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    NPI Number           |    1316290497
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    Entity Type          |    Individual 
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    Provider Name        |    M EDWIN CAYLOR DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/26/2012
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    Last Update Date     |    10/27/2012
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Provider Practice Location Address
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    Address Line         |    2880 CLEVELAND HWY 
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    City                 |    DALTON
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    State                |    GA
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    Zip                  |    30721-8009
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    Country              |    US
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    Telephone            |    706-259-3318
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    Fax                  |    706-259-3319
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Provider Business Mailing Address
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    Address Line         |    2880 CLEVELAND HWY 
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    City                 |    DALTON
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    State                |    GA
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    Zip                  |    30721-8009
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    Country              |    US
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    Telephone            |    706-259-3318
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    Fax                  |    706-259-3319
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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       |    DN008844
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    License Number State |    GA
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