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General NPI Number Information
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NPI Number | 1669702049
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Entity Type | Individual
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Provider Name | JOANNA SILVER DOVER DMD
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Gender | Female
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Dates
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Enumeration Date | 01/06/2010
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Last Update Date | 01/05/2016
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Provider Practice Location Address
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Address Line | 4112 LINWOOD RD
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City | COLUMBIA
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State | SC
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Zip | 29205-1567
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Country | US
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Telephone | 803-553-4560
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Fax | 803-782-6682
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Provider Business Mailing Address
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Address Line | 4112 LINWOOD RD
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City | COLUMBIA
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State | SC
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Zip | 29205-1567
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Country | US
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Telephone | 803-553-4560
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Fax | 803-782-6682
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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 | 4660
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License Number State | SC
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