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General NPI Number Information
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NPI Number | 1669959540
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Entity Type | Organization
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Legal Business Name | LAWRENCEBURG DENTAL PLLC
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Dates
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Enumeration Date | 07/24/2018
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Last Update Date | 07/24/2018
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Provider Practice Location Address
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Address Line | 1290 1ST AVE
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City | LAWRENCEBURG
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State | TN
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Zip | 38464-2762
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Country | US
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Telephone | 931-762-3409
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Fax |
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Provider Business Mailing Address
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Address Line | 519 JASPER AVE
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City | FRANKLIN
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State | TN
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Zip | 37064-8682
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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 | DENTIST
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Name | DR. KAROL LORINC
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Credential | DDS
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Telephone | 678-662-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 10519
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License Number State | TN
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