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General NPI Number Information
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NPI Number | 1639953326
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Entity Type | Organization
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Legal Business Name | CAROTHERS PARKWAY GENERAL DENTISTRY
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Dates
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Enumeration Date | 08/23/2023
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 9040 CAROTHERS PKWY STE A203
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City | FRANKLIN
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State | TN
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Zip | 37067-6312
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Country | US
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Telephone | 615-717-1237
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Fax | 615-771-9674
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Provider Business Mailing Address
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Address Line | 9040 CAROTHERS PKWY STE A203
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City | FRANKLIN
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State | TN
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Zip | 37067-6312
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Country | US
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Telephone | 615-491-5038
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Fax | 615-491-5038
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. KENDRA MICHELLE LAWYER
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Credential |
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Telephone | 615-771-7123
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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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