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General NPI Number Information
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NPI Number | 1437129228
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Entity Type | Individual
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Provider Name | MILLARD BEDFORD SMITH D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/24/2006
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Last Update Date | 07/28/2009
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Provider Practice Location Address
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Address Line | 501 PENNY LANE
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City | MOREHEAD CITY
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State | NC
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Zip | 28557
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Country | US
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Telephone | 252-247-2258
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Fax | 252-247-7783
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Provider Business Mailing Address
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Address Line | 501 PENNY LANE
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City | MOREHEAD CITY
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State | NC
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Zip | 28557
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Country | US
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Telephone | 252-247-2258
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Fax | 252-247-7783
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 6090
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License Number State | NC
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