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General NPI Number Information
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NPI Number | 1790237477
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Entity Type | Organization
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Legal Business Name | WESTPHAL ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 10/28/2016
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Last Update Date | 10/28/2016
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Provider Practice Location Address
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Address Line | 355 HANCOCK ST
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City | GALLATIN
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State | TN
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Zip | 37066-3690
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Country | US
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Telephone | 615-452-2868
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Fax |
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Provider Business Mailing Address
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Address Line | 355 HANCOCK ST
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City | GALLATIN
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State | TN
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Zip | 37066-3690
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Country | US
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Telephone | 615-452-2868
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Fax |
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Authorized Official
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Title or Position | OWNER/ORTHODONTIST
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Name | DR. KATHERINE A HART WESTPHAL
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Credential | DDS, MDS
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Telephone | 615-452-2868
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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 | 9017
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License Number State | TN
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