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General NPI Number Information
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NPI Number | 1669503926
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Entity Type | Individual
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Provider Name | CAROL A SCRANTON D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 145 COMMONS LOOP STE 300
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City | KALISPELL
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State | MT
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Zip | 59901-1918
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Country | US
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Telephone | 406-756-9393
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7998
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City | KALISPELL
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State | MT
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Zip | 59904-0998
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Country | US
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Telephone | 406-756-9393
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 1767
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License Number State | MT
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