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General NPI Number Information
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NPI Number | 1548887805
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Entity Type | Individual
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Provider Name | JOHN SPENCER PICKERING DDS
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Gender | Male
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Dates
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Enumeration Date | 07/02/2020
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 5733 AIRLINE RD # 102
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City | ARLINGTON
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State | TN
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Zip | 38002-5133
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Country | US
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Telephone | 901-737-1927
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Fax |
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Provider Business Mailing Address
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Address Line | 140 N HIGHLAND ST
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City | MEMPHIS
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State | TN
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Zip | 38111-4724
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Country | US
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Telephone | 770-298-8999
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 11334
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License Number State | TN
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