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General NPI Number Information
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NPI Number | 1629460506
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Entity Type | Organization
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Legal Business Name | TW ORTHODONTICS LLC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 01/10/2019
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Provider Practice Location Address
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Address Line | 736 E LEE ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2478
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Country | US
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Telephone | 334-347-0096
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Fax |
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Provider Business Mailing Address
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Address Line | 736 E LEE ST
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City | ENTERPRISE
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State | AL
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Zip | 36330-2478
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Country | US
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Telephone | 334-347-0096
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Fax |
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. WILLIAM NICHOLAS TURNER
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Credential | DMD
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Telephone | 334-347-0096
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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 | 5708
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License Number State | AL
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