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General NPI Number Information
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NPI Number | 1720195936
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Entity Type | Organization
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Legal Business Name | DANIEL P. HARTLEY, DMD, PA
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 07/12/2007
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Provider Practice Location Address
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Address Line | 103 CALVERT AVE
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City | CLINTON
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State | SC
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Zip | 29325-2514
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Country | US
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Telephone | 864-833-5333
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Fax |
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Provider Business Mailing Address
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Address Line | 103 CALVERT AVE
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City | CLINTON
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State | SC
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Zip | 29325-2514
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Country | US
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Telephone | 864-833-5333
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Fax | 864-833-5417
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL P. HARTLEY
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Credential | DMD
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Telephone | 864-833-5400
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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 | SC 1743
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License Number State | SC
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