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General NPI Number Information
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NPI Number | 1578818886
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Entity Type | Organization
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Legal Business Name | JOHN VERBEYST, DMD
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Dates
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Enumeration Date | 07/24/2012
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Last Update Date | 07/24/2012
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Provider Practice Location Address
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Address Line | 1051 TEN ROD RD UNIT # 5
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4193
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Country | US
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Telephone | 401-295-5511
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Fax | 401-295-5418
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Provider Business Mailing Address
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Address Line | 1051 TEN ROD RD UNIT # 5
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City | NORTH KINGSTOWN
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State | RI
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Zip | 02852-4193
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Country | US
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Telephone | 401-295-5511
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Fax | 401-295-5418
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. JOHN W VERBEYST
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Credential | DMD
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Telephone | 401-295-5511
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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 | 2315
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License Number State | RI
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