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General NPI Number Information
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NPI Number | 1811409493
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Entity Type | Organization
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Legal Business Name | HUNTER PIERMONT DDS & ASSOCIATES PA
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Dates
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Enumeration Date | 11/03/2017
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Last Update Date | 11/03/2017
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Provider Practice Location Address
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Address Line | 4558 CAPITAL BLVD
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City | RALEIGH
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State | NC
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Zip | 27604-4537
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Country | US
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Telephone | 919-861-7814
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Fax |
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Provider Business Mailing Address
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Address Line | 101 BAYHAM DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6310
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Country | US
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Telephone | 773-960-3525
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUNTER H PIERMONT
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Credential | DDS
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Telephone | 773-960-3525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 10140
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License Number State | NC
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