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General NPI Number Information
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NPI Number | 1356604664
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Entity Type | Organization
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Legal Business Name | GO ORTHODONTICS PARTNERSHIP
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 12/17/2012
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Provider Practice Location Address
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Address Line | 2408 S LAMAR BLVD SUITE 2
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City | OXFORD
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State | MS
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Zip | 38655-5345
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Country | US
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Telephone | 662-234-4822
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Fax | 662-234-9032
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Provider Business Mailing Address
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Address Line | PO BOX 1218
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City | OXFORD
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State | MS
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Zip | 38655-1218
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Country | US
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Telephone | 662-234-4822
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Fax | 662-234-9032
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | MRS. NATALIE K TURNER
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Credential |
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Telephone | 662-234-4822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 352209
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9082
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8281
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License Number State | TN
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Taxonomy #4
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 305098
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License Number State | MS
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