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General NPI Number Information
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NPI Number | 1578964458
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Entity Type | Organization
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Legal Business Name | WEE CARE DENTISTRY PC
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 05/27/2015
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Provider Practice Location Address
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Address Line | 6843 NASHVILLE ST
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City | RINGGOLD
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State | GA
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Zip | 30736-2417
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Country | US
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Telephone | 706-965-3799
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Fax | 706-965-3790
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Provider Business Mailing Address
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Address Line | 6843 NASHVILLE ST
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City | RINGGOLD
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State | GA
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Zip | 30736-2417
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Country | US
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Telephone | 706-965-3799
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ANTHONY L HENRY
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Credential | DDS
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Telephone | 706-965-3799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | BH4831144
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License Number State | GA
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