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General NPI Number Information
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NPI Number | 1558021303
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Entity Type | Organization
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Legal Business Name | TIMOTHY C. SCANLAN, DDS, MS II PLLC
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 04/20/2023
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Provider Practice Location Address
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Address Line | 4 VANDERBILT PARK DR STE 110
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City | ASHEVILLE
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State | NC
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Zip | 28803-2476
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Country | US
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Telephone | 828-254-4602
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Fax |
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Provider Business Mailing Address
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Address Line | 4 VANDERBILT PARK DR STE 110
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City | ASHEVILLE
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State | NC
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Zip | 28803-2476
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Country | US
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Telephone | 828-254-4602
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING LEAD
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Name | JENNY GARCIA
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Credential |
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Telephone | 972-869-3789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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