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General NPI Number Information
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NPI Number | 1457566218
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Entity Type | Individual
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Provider Name | ORAL C FRANCIS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4140 MOORE RD SUITE B102
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City | SUWANEE
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State | GA
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Zip | 30024
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Country | US
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Telephone | 678-482-9434
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 ROYSTON DR
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City | DULUTH
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State | GA
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Zip | 30097-2823
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Country | US
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Telephone | 615-243-1906
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN013142
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License Number State | GA
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