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General NPI Number Information
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NPI Number | 1487077673
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Entity Type | Individual
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Provider Name | HENRY SPRINKLE JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 01/24/2014
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 1106 W RANDOL MILL RD SUITE 100
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City | ARLINGTON
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State | TX
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Zip | 76012-6506
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Country | US
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Telephone | 817-461-9998
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Fax | 817-459-4844
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Provider Business Mailing Address
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Address Line | 7100 MATLOCK RD
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City | GRANBURY
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State | TX
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Zip | 76049-6333
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Country | US
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Telephone | 817-980-3957
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Fax | 817-326-2900
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9633
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License Number State | TX
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