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General NPI Number Information
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NPI Number | 1790987667
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Entity Type | Organization
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Legal Business Name | WILLIAM J. JAMIESON, D.M.D,P.C.
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 04/17/2012
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Provider Practice Location Address
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Address Line | 4721 CHAMBLEE DUNWOODY RD SUITE 100
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City | DUNWOODY
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State | GA
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Zip | 30338-6000
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Country | US
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Telephone | 770-394-0001
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Fax | 777-394-3262
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Provider Business Mailing Address
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Address Line | 5440 DUNWOODY KNOLL CT
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City | DUNWOODY
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State | GA
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Zip | 30338-3215
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Country | US
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Telephone | 770-395-6210
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Fax | 770-395-6210
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Authorized Official
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Title or Position | DENTIST
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Name | DR. WILLIAM JOSEPH JAMIESON
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Credential | D.M.D.
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Telephone | 770-394-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN012732
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License Number State | GA
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