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General NPI Number Information
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NPI Number | 1811344732
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Entity Type | Individual
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Provider Name | JENNIFER PLYLER NEWSOME DDS
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Gender | Female
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 200 WEST LEXINGTON AVE SUITE 101
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City | HIGH POINT
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State | NC
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Zip | 27262
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Country | US
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Telephone | 336-884-0800
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Fax | 336-884-0801
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Provider Business Mailing Address
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Address Line | 200 WEST LEXINGTON AVE SUITE 101
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City | HIGH POINT
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State | NC
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Zip | 27262
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Country | US
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Telephone | 336-884-0800
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Fax | 336-884-0801
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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 | 8947
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License Number State | SC
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