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General NPI Number Information
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NPI Number | 1578139499
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Entity Type | Organization
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Legal Business Name | LINER, WARD & SHOBE DDS, PA
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 1370 PIEDMONT DR STE 200
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City | LEXINGTON
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State | NC
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Zip | 27295-2053
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Country | US
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Telephone | 336-249-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 6570 SHALLOWFORD RD
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City | LEWISVILLE
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State | NC
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Zip | 27023-8651
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Country | US
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Telephone | 336-945-5555
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Fax | 336-945-0125
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MRS. DACIA K EILERT-HOLCOMB
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Credential |
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Telephone | 336-945-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric 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 | 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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