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General NPI Number Information
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NPI Number | 1518299676
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Entity Type | Organization
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Legal Business Name | SARA B NORTHCUTT DDS FAMILY & COSMETIC DENTISTRY
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Dates
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Enumeration Date | 02/01/2010
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Last Update Date | 02/01/2010
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Provider Practice Location Address
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Address Line | 1441 NEW HWY 96 WEST
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City | FRANKLIN
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State | TN
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Zip | 37064
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Country | US
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Telephone | 615-790-4994
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Fax | 615-656-2178
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Provider Business Mailing Address
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Address Line | 1441 NEW HWY 96 WEST
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City | FRANKLIN
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State | TN
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Zip | 37064
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Country | US
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Telephone | 615-790-4994
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Fax | 615-656-2178
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Authorized Official
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Title or Position | FRONT OFFICE MANAGER
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Name | KIMBERLY DAWN AVELLO
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Credential |
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Telephone | 615-790-4994
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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 | 8268
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 9003
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7885
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License Number State | TN
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