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General NPI Number Information
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NPI Number | 1740395250
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Entity Type | Individual
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Provider Name | STEPHEN BARRETT SEXTON D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 11/08/2011
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Provider Practice Location Address
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Address Line | 1661 AARON BRENNER DR STE 105
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City | MEMPHIS
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State | TN
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Zip | 38120-1467
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Country | US
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Telephone | 901-756-8475
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Fax | 901-756-7820
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Provider Business Mailing Address
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Address Line | 1661 AARON BRENNER DR STE 105
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City | MEMPHIS
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State | TN
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Zip | 38120-1467
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Country | US
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Telephone | 901-756-8475
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Fax | 901-756-7820
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | DS7358
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License Number State | TN
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