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General NPI Number Information
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NPI Number | 1356833404
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Entity Type | Organization
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Legal Business Name | ATLANTIC DENTAL CARE PLC
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Dates
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Enumeration Date | 06/05/2018
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 606 DENBIGH BLVD SUITE 300
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City | NEWPORT NEWS
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State | VA
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Zip | 23608
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Country | US
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Telephone | 757-874-8612
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Fax |
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Provider Business Mailing Address
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Address Line | 606 DENBIGH BLVD SUITE 300
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City | NEWPORT NEWS
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State | VA
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Zip | 23608
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Country | US
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Telephone | 757-874-8612
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | ALLAN HEATH CASH III
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Credential | DDS
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Telephone | 757-874-8612
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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 | 0401411255
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401411255
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License Number State | VA
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