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General NPI Number Information
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NPI Number | 1730279837
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Entity Type | Individual
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Provider Name | JAMES RUTLEDGE COLEMAN JR. DMD, LLC
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Gender | Male
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 01/23/2019
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Provider Practice Location Address
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Address Line | 6602 ABERCORN ST STE 101
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City | SAVANNAH
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State | GA
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Zip | 31405-5849
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Country | US
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Telephone | 912-354-3444
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Fax | 912-264-2409
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Provider Business Mailing Address
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Address Line | 6 SALTWIND CIR
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City | SAVANNAH
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State | GA
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Zip | 31411-3067
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Country | US
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Telephone | 904-386-8216
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Fax | 912-264-2409
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DN015321
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License Number State | GA
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