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General NPI Number Information
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NPI Number | 1750547717
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Entity Type | Organization
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Legal Business Name | DIAMOND DENTAL CARE
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 925 W MITCHELL ST
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City | ARLINGTON
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State | TX
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Zip | 76013-2538
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Country | US
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Telephone | 817-274-0366
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Fax | 817-274-9118
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Provider Business Mailing Address
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Address Line | 925 W MITCHELL ST
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City | ARLINGTON
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State | TX
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Zip | 76013-2538
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Country | US
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Telephone | 817-274-0366
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Fax | 817-274-9118
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Authorized Official
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Title or Position | OWNER
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Name | DR. CECIL FREDERICK TURNER
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Credential | DDS
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Telephone | 817-274-0366
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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 | 12516
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License Number State | TX
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