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General NPI Number Information
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NPI Number | 1376750042
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Entity Type | Individual
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Provider Name | PATRICK NETTLES FRENCH D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2176 OAK ROAD SUITE A
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City | SNELLVILLE
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State | GA
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Zip | 30078
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Country | US
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Telephone | 770-985-9559
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Fax | 770-972-0847
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Provider Business Mailing Address
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Address Line | 10182 AZALEA DRIVE
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City | COVINGTON
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State | GA
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Zip | 30014
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Country | US
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Telephone | 770-788-0443
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Fax | 770-972-0847
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN012578
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License Number State | GA
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