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General NPI Number Information
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NPI Number | 1750871562
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Entity Type | Organization
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Legal Business Name | O'BRIEN AND WEST, DMD V, PLLC
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 04/21/2020
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Provider Practice Location Address
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Address Line | 452 SHOTWELL RD
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City | CLAYTON
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State | NC
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Zip | 27520-7397
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Country | US
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Telephone | 919-750-8484
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Fax | 919-243-2892
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Provider Business Mailing Address
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Address Line | 2945 NEW BERN AVE
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City | RALEIGH
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State | NC
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Zip | 27610-1213
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Country | US
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Telephone | 919-834-4932
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZABETH ANN WEST
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Credential |
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Telephone | 919-834-4932
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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 |
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License Number State | NC
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