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General NPI Number Information
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NPI Number | 1407746860
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Entity Type | Organization
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Legal Business Name | NATIONAL BOARD OF DENTAL LEGAL NURSE CONSULTANT
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Dates
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Enumeration Date | 07/08/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 7035 S MEMORIAL DR
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City | TULSA
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State | OK
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Zip | 74133-3000
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Country | US
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Telephone | 918-340-8718
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Fax |
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Provider Business Mailing Address
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Address Line | 2415 E 22ND ST
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City | TULSA
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State | OK
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Zip | 74114-3118
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Country | US
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Telephone | 918-340-8718
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Fax |
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Authorized Official
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Title or Position | FOUNDER ANDNATIONAL DIRECTOR, DLNC
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Name | MATTHEW ADCOCK
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Credential | PN, DLNC, LNC
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Telephone | 918-340-8718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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