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General NPI Number Information
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NPI Number | 1346578705
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Entity Type | Organization
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Legal Business Name | WALK IN DENTAL CLINICS INC.
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 11/24/2009
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Provider Practice Location Address
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Address Line | 4928 EDMONSON PIKE SUITE 202
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 615-837-2004
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Fax | 615-837-2006
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Provider Business Mailing Address
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Address Line | 1445 ALTERAS CIRCLE
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City | NASHVILLE
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State | TN
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Zip | 37211
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Country | US
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Telephone | 504-615-4899
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Fax | 615-837-2006
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Authorized Official
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Title or Position | OWNER
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Name | DR. ARCHIE A BERTRAND III
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Credential | DDS
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Telephone | 615-837-2004
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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 | 8267
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License Number State | TN
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