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General NPI Number Information
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NPI Number | 1811457427
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Entity Type | Organization
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Legal Business Name | E.F.SLOAN, D.D.S., P.L.L.C
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Dates
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Enumeration Date | 03/20/2019
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 103 CHURCH ST
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City | BROADWAY
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State | NC
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Zip | 27505-9394
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Country | US
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Telephone | 919-258-9321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 577
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City | BROADWAY
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State | NC
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Zip | 27505-0577
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Country | US
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Telephone | 919-258-9321
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELDON SLOAN III
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Credential | DDS
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Telephone | 919-258-9321
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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 |
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License Number State |
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