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General NPI Number Information
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NPI Number | 1801860234
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Entity Type | Individual
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Provider Name | DENNIS A BETTS MD
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Gender | Male
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Dates
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Enumeration Date | 02/14/2006
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 1060 PEERLESS CROSSING SUITE 100
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City | CLEVELAND
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State | TN
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Zip | 37312-3784
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Country | US
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Telephone | 423-339-5656
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Fax | 423-339-8889
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Provider Business Mailing Address
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Address Line | 1060 PEERLESS CROSSING SUITE 100
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City | CLEVELAND
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State | TN
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Zip | 37312-3784
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Country | US
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Telephone | 423-339-5656
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Fax | 423-339-8889
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD0000029066
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 29066
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License Number State | TN
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