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General NPI Number Information
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NPI Number | 1720497324
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Entity Type | Organization
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Legal Business Name | ANGELA C. CANFIELD DDS PC
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 09/18/2014
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Provider Practice Location Address
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Address Line | 7360 SKIDAWAY RD SUITE H2
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City | SAVANNAH
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State | GA
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Zip | 31406-4265
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Country | US
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Telephone | 912-713-1398
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 15299
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City | SAVANNAH
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State | GA
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Zip | 31416-1999
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Country | US
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Telephone | 912-713-1398
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Fax | 912-826-4825
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. ANGELA C CANFIELD
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Credential | DDS
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Telephone | 912-713-1398
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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 | DN013083
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License Number State | GA
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