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General NPI Number Information
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NPI Number | 1679691794
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Entity Type | Individual
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Provider Name | GEOFFREY W SHEEN DDS MS
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Gender | Male
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Dates
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Enumeration Date | 03/27/2007
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Last Update Date | 12/17/2013
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Provider Practice Location Address
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Address Line | 3643 WALTON WAY EXT BLDG 5
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-738-3401
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Fax | 706-736-4710
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Provider Business Mailing Address
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Address Line | 3643 WALTON WAY EXT BLDG 5
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City | AUGUSTA
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State | GA
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Zip | 30909
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Country | US
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Telephone | 706-738-3401
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Fax | 706-736-4710
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | GADL0011819
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License Number State | GA
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