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General NPI Number Information
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NPI Number | 1801184478
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Entity Type | Individual
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Provider Name | SARA TWARDY DMD
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Gender | Female
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1060 WINDY HILL ROAD SE SUITE 220
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City | SMYRNA
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State | GA
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Zip | 30080
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Country | US
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Telephone | 770-302-0504
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Fax |
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Provider Business Mailing Address
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Address Line | 214 COLONIAL HOMES DR NW UNIT 1343
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City | ATLANTA
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State | GA
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Zip | 30309-1583
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Country | US
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Telephone | 334-444-4105
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | DN014316
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN014316
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License Number State | GA
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