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NPI 1669858718

NPI 1669858718 : ERIC B. OXLEY D.M.D. : NEW BERN, NC

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General NPI Number Information
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    NPI Number           |    1669858718
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    Entity Type          |    Individual 
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    Provider Name        |    ERIC B. OXLEY D.M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/30/2015
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    Last Update Date     |    08/01/2020
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Provider Practice Location Address
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    Address Line         |    3004 TRENT RD 
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    City                 |    NEW BERN
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    State                |    NC
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    Zip                  |    28562-5735
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    Country              |    US
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    Telephone            |    252-633-2500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3004 TRENT RD 
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    City                 |    NEW BERN
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    State                |    NC
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    Zip                  |    28562-5735
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    Country              |    US
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    Telephone            |    252-633-2500
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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       |    DS0000010071
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    10829
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    License Number State |    NC
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