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General NPI Number Information
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NPI Number | 1346672862
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Entity Type | Organization
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Legal Business Name | WESTMORELAND DENTAL CARE
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Dates
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Enumeration Date | 08/07/2013
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Last Update Date | 08/07/2013
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Provider Practice Location Address
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Address Line | 1012 PLEASANT GROVE RD
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City | WESTMORELAND
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State | TN
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Zip | 37186-2139
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Country | US
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Telephone | 615-644-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 1012 PLEASANT GROVE RD
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City | WESTMORELAND
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State | TN
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Zip | 37186-2139
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Country | US
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Telephone | 615-644-7000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANDREW MARSHALL
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Credential | DDS
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Telephone | 615-374-9181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 7791
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License Number State | TN
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