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General NPI Number Information
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NPI Number | 1669227914
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Entity Type | Individual
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Provider Name | EMMA CORRIN MCALLUM DDS
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Gender | Female
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Dates
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Enumeration Date | 04/20/2024
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1067 TWINING DR
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City | BARKSDALE AFB
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State | LA
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Zip | 71110-2486
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Country | US
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Telephone | 318-456-1430
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Fax |
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Provider Business Mailing Address
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Address Line | 2D DENTAL SQUADRON 1067 TWINING DRIVE
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City | BARKSDALE AFB
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State | LA
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Zip | 71110-2425
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Country | US
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Telephone | 318-456-6718
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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 | 13995708-9926
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License Number State | UT
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