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General NPI Number Information
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NPI Number | 1467118760
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Entity Type | Organization
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Legal Business Name | CHRIS H. FLEMING DMD, LLC
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 1660 JESSE JEWELL PKWY NE STE B
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City | GAINESVILLE
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State | GA
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Zip | 30501-2547
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Country | US
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Telephone | 770-503-7333
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Fax | 770-503-7331
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Provider Business Mailing Address
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Address Line | 1660 JESSE JEWELL PKWY NE STE B
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City | GAINESVILLE
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State | GA
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Zip | 30501-2547
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Country | US
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Telephone | 770-503-7333
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Fax | 770-503-7331
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Authorized Official
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Title or Position | DIRECTOR OF CREDENTIALING
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Name | FAITH GASKINS
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Credential |
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Telephone | 972-869-3789
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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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