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General NPI Number Information
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NPI Number | 1336276799
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Entity Type | Individual
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Provider Name | LISA JEANINNE CURRY DMD
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Gender | Female
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 312 LIGHTFOOT ROAD SUITE H
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City | WILLIAMSBURG
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State | VA
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Zip | 23188
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Country | US
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Telephone | 757-220-3450
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Fax | 757-220-3535
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Provider Business Mailing Address
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Address Line | 312 LIGHTFOOT ROAD SUITE H
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City | WILLIAMSBURG
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State | VA
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Zip | 23188
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Country | US
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Telephone | 757-220-3450
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Fax | 757-220-3535
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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 | 0401008935
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License Number State | VA
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