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General NPI Number Information
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NPI Number | 1699757500
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Entity Type | Individual
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Provider Name | DAVID C. PEPPERS D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/16/2005
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Last Update Date | 11/10/2008
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Provider Practice Location Address
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Address Line | 209 MORROW ST N
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City | MENA
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State | AR
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Zip | 71953-2514
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Country | US
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Telephone | 479-394-5920
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Fax | 479-437-3454
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Provider Business Mailing Address
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Address Line | 209 MORROW ST N P.O. BOX 197
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City | MENA
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State | AR
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Zip | 71953-2514
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Country | US
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Telephone | 479-394-5920
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Fax | 479-394-7273
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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 | 3444
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License Number State | AR
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