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General NPI Number Information
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NPI Number | 1437316700
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Entity Type | Organization
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Legal Business Name | BAY AREA ENDODONTICS LLP
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 1550 S HIGHLAND AVE SUITE A
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City | CLEARWATER
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State | FL
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Zip | 33756-2353
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Country | US
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Telephone | 727-443-3231
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Fax | 727-442-0398
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Provider Business Mailing Address
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Address Line | 1550 S HIGHLAND AVE SUITE A
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City | CLEARWATER
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State | FL
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Zip | 33756-2353
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Country | US
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Telephone | 727-443-3231
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Fax | 727-442-0398
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODNEY L ANTHONY
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Credential | DMD
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Telephone | 727-443-3231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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