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General NPI Number Information
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NPI Number | 1467835140
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Entity Type | Individual
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Provider Name | AMIR VICTOR FRANCIS D.D.S
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Gender | Male
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 08/13/2019
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Provider Practice Location Address
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Address Line | 1100 POPLAR VIEW LN N STE 1
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City | COLLIERVILLE
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State | TN
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Zip | 38017-9323
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Country | US
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Telephone | 901-854-4422
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 POPLAR VIEW LN N STE 1
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City | COLLIERVILLE
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State | TN
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Zip | 38017-9323
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Country | US
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Telephone | 901-854-4422
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 10986
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License Number State | TN
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