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General NPI Number Information
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NPI Number | 1619558103
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Entity Type | Organization
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Legal Business Name | DAVE E FOULKES DDS PLLC
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Dates
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Enumeration Date | 04/16/2021
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Last Update Date | 04/16/2021
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Provider Practice Location Address
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Address Line | 895 S BECKFORD DR STE B
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City | HENDERSON
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State | NC
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Zip | 27536-5950
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Country | US
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Telephone | 252-492-8080
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Fax | 252-438-6105
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Provider Business Mailing Address
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Address Line | 895 S BECKFORD DR STE B
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City | HENDERSON
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State | NC
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Zip | 27536-5950
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Country | US
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Telephone | 252-492-8080
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Fax | 252-438-6105
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MRS. ARNICA FOULKES
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Credential |
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Telephone | 919-699-9947
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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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