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General NPI Number Information
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NPI Number | 1487746871
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Entity Type | Organization
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Legal Business Name | HOMETOWN FAMILY DENTISTRY, PC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/24/2014
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Provider Practice Location Address
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Address Line | 9133 PARKWAY E SUITE 101B
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City | BIRMINGHAM
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State | AL
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Zip | 35206
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Country | US
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Telephone | 205-836-7276
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Fax |
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Provider Business Mailing Address
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Address Line | 9133 PARKWAY E SUITE 101B
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City | BIRMINGHAM
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State | AL
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Zip | 35206
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Country | US
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Telephone | 205-836-7276
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN F. PERRY
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Credential | D.M.D.
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Telephone | 205-836-7276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4250
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License Number State | AL
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