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General NPI Number Information
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NPI Number | 1770913220
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Entity Type | Organization
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Legal Business Name | L.L. BARNETT DENTAL SOLUTIONS, P.C.
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 7185 HIGHWAY 72 W STE C
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City | MADISON
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State | AL
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Zip | 35758-6650
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Country | US
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Telephone | 256-837-1200
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Fax | 256-837-9855
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Provider Business Mailing Address
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Address Line | 7185 HIGHWAY 72 W STE C
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City | MADISON
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State | AL
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Zip | 35758-6650
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Country | US
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Telephone | 256-837-1200
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Fax | 256-837-9855
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. LAURENTIS BARNETT
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Credential | D.D.S.
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Telephone | 256-837-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 5579
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License Number State | AL
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