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General NPI Number Information
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NPI Number | 1386821064
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Entity Type | Organization
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Legal Business Name | SCOTT P GUICE DDS PA
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Dates
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Enumeration Date | 01/25/2008
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Last Update Date | 01/25/2008
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Provider Practice Location Address
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Address Line | 9615 NORTHCROSS CENTER CT SUITE A
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7300
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Country | US
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Telephone | 704-895-3858
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Fax | 704-896-2498
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Provider Business Mailing Address
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Address Line | 9615 NORTHCROSS CENTER CT SUITE A
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7300
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Country | US
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Telephone | 704-895-3858
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Fax | 704-896-2498
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Authorized Official
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Title or Position | OFFICE MANGER
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Name | MRS. EMILIE M DAVIS
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Credential | RDH
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Telephone | 704-895-3858
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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 | 6673
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License Number State | NC
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