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General NPI Number Information
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NPI Number | 1508929928
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Entity Type | Organization
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Legal Business Name | SHELBY GEBBS POSNER DDS DBA THE CHILDRENS DENTAL COTTAGE
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 209 W HWY 22 STE F
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City | MADISONVILLE
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State | LA
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Zip | 70447
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Country | US
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Telephone | 985-845-3211
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Fax | 985-845-2895
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Provider Business Mailing Address
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Address Line | 209 W HWY 22 STE F
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City | MADISONVILLE
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State | LA
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Zip | 70447
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Country | US
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Telephone | 985-845-3211
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Fax | 985-845-2895
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SHELBY GEBBS POSNER
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Credential | DDS
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Telephone | 985-845-3211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 4351
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License Number State | LA
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