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General NPI Number Information
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NPI Number | 1801067525
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Entity Type | Organization
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Legal Business Name | ISAAC S. HADLEY, DMD, PC
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 03/20/2008
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Provider Practice Location Address
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Address Line | 131 N OAKLEY DR
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City | COLUMBUS
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State | GA
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Zip | 31906-4476
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Country | US
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Telephone | 706-689-2905
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Fax | 706-689-7490
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Provider Business Mailing Address
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Address Line | 131 N OAKLEY DR
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City | COLUMBUS
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State | GA
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Zip | 31906-4476
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Country | US
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Telephone | 706-689-2905
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Fax | 706-689-7490
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Authorized Official
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Title or Position | DENTIST
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Name | ISAAC SAMUEL HADLEY
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Credential | DMD
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Telephone | 706-689-2905
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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 | DN008272
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License Number State | GA
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