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General NPI Number Information
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NPI Number | 1528790680
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Entity Type | Organization
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Legal Business Name | LAKELAND PERIODONTICS AND IMPLANTS
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Dates
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Enumeration Date | 06/28/2022
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Last Update Date | 06/28/2022
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Provider Practice Location Address
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Address Line | 2550 FLOWOOD DR STE 401
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City | FLOWOOD
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State | MS
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Zip | 39232-9320
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Country | US
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Telephone | 601-271-8710
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Fax | 601-271-6055
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Provider Business Mailing Address
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Address Line | 2550 FLOWOOD DR STE 401
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City | FLOWOOD
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State | MS
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Zip | 39232-9320
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Country | US
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Telephone | 601-271-8710
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Fax | 601-271-6055
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | KELLY MILLER
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Credential |
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Telephone | 601-271-8710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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