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General NPI Number Information
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NPI Number | 1598013781
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Entity Type | Organization
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Legal Business Name | TERESA G. BIGGERSTAFF, DDS, MD, PA
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Dates
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Enumeration Date | 08/21/2012
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Last Update Date | 08/21/2012
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Provider Practice Location Address
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Address Line | 900 OLD WINSTON RD SUITE 204
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City | KERNERSVILLE
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State | NC
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Zip | 27284-9964
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Country | US
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Telephone | 336-992-2123
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Fax | 336-992-2330
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Provider Business Mailing Address
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Address Line | 900 OLD WINSTON RD SUITE 204
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City | KERNERSVILLE
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State | NC
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Zip | 27284-9964
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Country | US
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Telephone | 336-992-2123
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Fax | 336-992-2330
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. RONDA A WINTERS
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Credential |
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Telephone | 336-992-2123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2007-00937
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License Number State | NC
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