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General NPI Number Information
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NPI Number | 1417295379
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Entity Type | Organization
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Legal Business Name | MATTHEW LINEBERGER D.D.S. P.A.
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Dates
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Enumeration Date | 01/27/2013
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Last Update Date | 07/22/2016
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Provider Practice Location Address
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Address Line | 9625 NORTHCROSS CENTER COURT SUITE 303
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-9998
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Country | US
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Telephone | 704-892-3300
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Fax | 704-892-3317
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Provider Business Mailing Address
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Address Line | 9625 NORTHCROSS CENTER CT SUITE 303
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-7348
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Country | US
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Telephone | 704-892-3300
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Fax | 704-892-3317
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Authorized Official
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Title or Position | MEMBER
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Name | DR. MATTHEW WOODSIDE LINEBERGER
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Credential | D.D.S., M.S.
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Telephone | 616-886-4436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 9421
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License Number State | NC
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