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General NPI Number Information
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NPI Number | 1528143229
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Entity Type | Organization
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Legal Business Name | WILLIAM J CLINE DMD PC
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 20A FELTON PLACE
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City | CARTERSVILLE
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State | GA
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Zip | 30120
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Country | US
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Telephone | 770-382-8380
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Fax | 770-382-5575
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Provider Business Mailing Address
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Address Line | PO BOX 201421
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City | CARTERSVILLE
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State | GA
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Zip | 30120
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Country | US
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Telephone | 770-382-8380
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Fax | 770-382-5575
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Authorized Official
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Title or Position | CEO
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Name | WILLIAM JAMES CLINE
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Credential | DMD
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Telephone | 770-382-8380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | DN012007
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License Number State | GA
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