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General NPI Number Information
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NPI Number | 1447831052
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Entity Type | Organization
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Legal Business Name | FIRST CITY FAMILY AND COSMETIC DENTISTRY
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Dates
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Enumeration Date | 04/15/2021
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | 702 E 66TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4506
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Country | US
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Telephone | 912-354-1420
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Fax |
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Provider Business Mailing Address
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Address Line | 702 E 66TH ST
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City | SAVANNAH
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State | GA
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Zip | 31405-4506
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Country | US
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Telephone | 912-354-1420
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/DENTIST
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Name | DR. EMILY COSMETIC BAKER DAMRON
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Credential | DDS
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Telephone | 912-354-1420
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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 |
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License Number State |
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