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General NPI Number Information
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NPI Number | 1720133044
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Entity Type | Organization
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Legal Business Name | CLAUDE DANIEL DDS
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3507 VETERANS MEMORIAL HWY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone | 770-948-2900
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Fax | 770-948-2193
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Provider Business Mailing Address
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Address Line | 3507 VETERANS MEMORIAL HWY
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City | LITHIA SPRINGS
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State | GA
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Zip | 30122
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Country | US
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Telephone | 770-948-2900
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Fax | 770-948-2193
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Authorized Official
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Title or Position | OWNER
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Name | DR. CLAUDE PIPPO DANIEL JR.
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Credential | DDS
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Telephone | 770-948-2900
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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 | DN010670
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License Number State | GA
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