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General NPI Number Information
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NPI Number | 1609372440
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Entity Type | Organization
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Legal Business Name | TAWANA FEIMSTER, DDS, MS, PLLC
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Dates
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Enumeration Date | 04/02/2018
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Last Update Date | 07/18/2023
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Provider Practice Location Address
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Address Line | 775 ADDISON DR STE 111
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City | ROCK HILL
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State | SC
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Zip | 29730-7061
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Country | US
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Telephone | 980-316-7109
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Fax | 980-939-0170
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Provider Business Mailing Address
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Address Line | 775 ADDISON DR STE 111
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City | ROCK HILL
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State | SC
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Zip | 29730-7061
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Country | US
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Telephone | 980-316-7109
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Fax | 980-939-0170
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Authorized Official
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Title or Position | OWNER
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Name | DR. TAWANA D. FEIMSTER
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Credential | DDS, MS
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Telephone | 571-989-8634
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 30833
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License Number State | TX
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