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General NPI Number Information
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NPI Number | 1669441333
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Entity Type | Individual
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Provider Name | DENNIS DALE CARR D.M.D, M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 101 HEATHERBROOKE PARK DR
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City | BIRMINGHAM
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State | AL
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Zip | 35242-8008
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Country | US
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Telephone | 205-991-9787
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Fax | 205-991-2687
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Provider Business Mailing Address
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Address Line | 5600 CANONGATE LN
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City | SHOAL CREEK
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State | AL
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Zip | 35242-6431
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Country | US
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Telephone |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 14348
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 3923
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License Number State | AL
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