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General NPI Number Information
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NPI Number | 1669159919
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Entity Type | Organization
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Legal Business Name | MILLER SKINNER AND DASTRUP DENTAL CORPORATION OF OAKHURST
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 49386 ROAD 426
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City | OAKHURST
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State | CA
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Zip | 93644
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Country | US
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Telephone | 559-656-6200
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Fax | 844-800-0163
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Provider Business Mailing Address
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Address Line | 49386 ROAD 426
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City | OAKHURST
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State | CA
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Zip | 93644
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Country | US
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Telephone | 559-656-6200
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Fax | 844-800-0163
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Authorized Official
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Title or Position | DOCTOR/OWNER
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Name | JEREMY SKINNER
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Credential | D.D.S
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Telephone | 480-399-3588
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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