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NPI 1811192545

NPI 1811192545 : LAURA JANE TURNER D.D.S. : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1811192545
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    Entity Type          |    Individual 
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    Provider Name        |    LAURA JANE TURNER D.D.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/21/2007
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    Last Update Date     |    07/19/2007
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Provider Practice Location Address
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    Address Line         |    2915 S GEORGIA ST 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79109-3436
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    Country              |    US
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    Telephone            |    806-353-6422
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    Fax                  |    806-352-0906
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Provider Business Mailing Address
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    Address Line         |    6707 MONTCLAIR CT 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79124-1121
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    Country              |    US
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    Telephone            |    806-355-0432
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    23382
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    License Number State |    TX
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