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General NPI Number Information
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NPI Number | 1356053334
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Entity Type | Organization
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Legal Business Name | HONEYBEE PEDIATRIC DENTISTRY PC
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/21/2022
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Provider Practice Location Address
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Address Line | 3480 PRESTON RIDGE RD STE 125
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City | ALPHARETTA
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State | GA
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Zip | 30005-5458
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Country | US
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Telephone | 517-974-0418
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Fax |
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Provider Business Mailing Address
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Address Line | 3911 LAKE PASS LN
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City | SUWANEE
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State | GA
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Zip | 30024-3839
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BOARD CERTIFIED PEDIATRIC DENTIST
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Name | DR. BELINDA PHAN
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Credential | DMD
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Telephone | 517-974-0418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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