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General NPI Number Information
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NPI Number | 1477841328
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Entity Type | Organization
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Legal Business Name | HOLLYMEAD DENTAL ARTS,PLC
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 07/13/2011
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Provider Practice Location Address
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Address Line | 1538 INSURANCE LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-7229
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Country | US
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Telephone | 434-243-7861
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Fax |
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Provider Business Mailing Address
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Address Line | 1538 INSURANCE LN
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22911-7229
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Country | US
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Telephone | 434-243-7861
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Fax |
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. CHRISTOPHER WHYNOTT
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Credential | DDS
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Telephone | 434-985-1052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 040140523
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License Number State | VA
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