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General NPI Number Information
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NPI Number | 1629080361
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Entity Type | Organization
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Legal Business Name | PREWITT & PREWITT, PA
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Dates
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Enumeration Date | 08/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 203 FAIRWAY DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-5511
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Country | US
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Telephone | 910-484-7878
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Fax | 910-484-0505
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Provider Business Mailing Address
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Address Line | PO BOX 53662
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City | FAYETTEVILLE
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State | NC
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Zip | 28305-3662
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Country | US
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Telephone | 910-484-7878
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Fax | 910-484-0505
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMES ROBINSON PREWITT
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Credential | DDS
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Telephone | 910-484-7878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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