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General NPI Number Information
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NPI Number | 1518218353
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Entity Type | Individual
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Provider Name | DAMARIS DERECE BASTIAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 09/19/2012
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Last Update Date | 11/08/2021
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Provider Practice Location Address
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Address Line | 101 DEVANT ST STE 404
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-2713
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Country | US
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Telephone | 678-884-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 101 DEVANT ST STE 404
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-2713
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Country | US
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Telephone | 678-884-5352
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN015482
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5087
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License Number State | LA
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