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General NPI Number Information
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NPI Number | 1548878077
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Entity Type | Organization
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Legal Business Name | DOUGLAS M. MATTHEWS,D.D.S.,P.A.
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Dates
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Enumeration Date | 07/21/2020
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | 350 E COLLEGE ST
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City | BATESVILLE
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State | AR
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Zip | 72501-5624
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Country | US
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Telephone | 870-793-7610
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Fax | 870-793-9046
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Provider Business Mailing Address
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Address Line | 350 E COLLEGE ST
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City | BATESVILLE
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State | AR
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Zip | 72501-5624
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Country | US
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Telephone | 870-793-7610
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Fax | 870-793-9046
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Authorized Official
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Title or Position | DENTIST
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Name | DR. DOUGLAS M. MATTHEWS
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Credential | DDS
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Telephone | 870-793-7610
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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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