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General NPI Number Information
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NPI Number | 1679976740
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Entity Type | Organization
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Legal Business Name | TWIN FALLS FAMILY DENTISTRY
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Dates
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Enumeration Date | 10/03/2014
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Last Update Date | 10/03/2014
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Provider Practice Location Address
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Address Line | 2430 HUDSON RD
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City | GREER
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State | SC
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Zip | 29650-2923
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Country | US
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Telephone | 864-896-7940
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Fax |
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Provider Business Mailing Address
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Address Line | 2430 HUDSON RD
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City | GREER
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State | SC
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Zip | 29650-2923
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Country | US
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Telephone | 864-896-7940
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Fax |
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. PETER A. MCPHERSON
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Credential | DMD
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Telephone | 864-896-7940
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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 | 8164
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License Number State | SC
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