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General NPI Number Information
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NPI Number | 1417107871
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Entity Type | Individual
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Provider Name | DENIS ALAN LAIRD D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 09/23/2008
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Last Update Date | 09/23/2008
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Provider Practice Location Address
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Address Line | 1 PINCKNEY BLVD BOX 6216A
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City | BEAUFORT
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State | SC
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Zip | 29903-6148
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Country | US
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Telephone | 843-228-5577
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Fax | 843-228-5196
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Provider Business Mailing Address
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Address Line | 1 PINCKNEY BLVD BOX 6216A
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City | BEAUFORT
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State | SC
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Zip | 29903-6148
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Country | US
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Telephone | 843-228-5577
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Fax | 843-228-5196
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8388
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License Number State | MD
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