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General NPI Number Information
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NPI Number | 1659600872
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Entity Type | Individual
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Provider Name | WILLIAM HUBERT RADFORD JR. D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/17/2009
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Last Update Date | 04/01/2016
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Provider Practice Location Address
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Address Line | 1550 N BRIDGE ST
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City | ELKIN
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State | NC
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Zip | 28621-2202
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Country | US
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Telephone | 919-210-7769
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Fax |
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Provider Business Mailing Address
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Address Line | 196 LAURELWOOD RD
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City | STATE ROAD
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State | NC
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Zip | 28676-9148
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Country | US
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Telephone | 919-210-7769
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8888
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License Number State | NC
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