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General NPI Number Information
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NPI Number | 1609739143
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Entity Type | Individual
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Provider Name | HATICE BURCU TUZCU UCUNOGLU
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Gender | Female
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 511 GREENSBORO ST
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City | ASHEBORO
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State | NC
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Zip | 27203-4736
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Country | US
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Telephone | 336-579-1451
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Fax |
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Provider Business Mailing Address
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Address Line | 1689 MOSAIC WAY
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City | SMYRNA
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State | GA
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Zip | 30080-3708
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 151495
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License Number State | NC
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