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General NPI Number Information
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NPI Number | 1700077922
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Entity Type | Individual
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Provider Name | WILLIAM BRUCE FINK DDS
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Gender | Male
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 01/20/2025
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Provider Practice Location Address
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Address Line | 1816 EAGLE DR STE 200-A
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City | WOODSTOCK
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State | GA
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Zip | 30189-8274
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Country | US
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Telephone | 770-926-0000
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Fax | 770-818-5850
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Provider Business Mailing Address
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Address Line | 106 GOLD LEAF CT
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City | CANTON
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State | GA
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Zip | 30114-9719
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Country | US
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Telephone | 770-331-1092
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Fax | 770-818-5850
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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 | DNO11355
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DNO11355
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DN011355
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License Number State | GA
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