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General NPI Number Information
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NPI Number | 1366746760
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Entity Type | Organization
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Legal Business Name | FRANKFORT DENTAL CENTER, LLC EMILY GILTNER DDS
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Dates
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Enumeration Date | 12/29/2010
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 900 E WALNUT ST
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City | FRANKFORT
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State | IN
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Zip | 46041-2567
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Country | US
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Telephone | 765-654-8811
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Fax | 765-654-0625
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Provider Business Mailing Address
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Address Line | 900 E WALNUT ST
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City | FRANKFORT
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State | IN
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Zip | 46041-2567
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Country | US
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Telephone | 765-654-8811
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Fax | 765-654-0625
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DR. EMILY DIANE GILTNER
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Credential | DDS
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Telephone | 765-654-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 12010601A
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License Number State | IN
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