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General NPI Number Information
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NPI Number | 1720209265
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Entity Type | Organization
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Legal Business Name | ERIN HARKINS DMD & SCOTT B SILLIMAN DMD
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 9280 HIGHWAY 5 SUITE C
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-1501
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Country | US
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Telephone | 770-920-8067
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Fax |
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Provider Business Mailing Address
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Address Line | 9280 HIGHWAY 5 SUITE C
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-1501
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Country | US
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Telephone | 770-920-8067
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SCOTT BURNETT SILLIMAN
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Credential | D.M.D.
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Telephone | 770-920-8067
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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 | 10932
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License Number State | GA
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