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General NPI Number Information
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NPI Number | 1811987258
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Entity Type | Individual
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Provider Name | VINCENT HEARD COPELAND DDS
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Gender | Male
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Dates
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Enumeration Date | 10/26/2005
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Last Update Date | 09/14/2011
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Provider Practice Location Address
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Address Line | 4250 FARONIA RD
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City | MEMPHIS
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State | TN
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Zip | 38116-6527
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Country | US
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Telephone | 901-332-9170
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Fax | 901-332-0806
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Provider Business Mailing Address
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Address Line | 9436 MAYFIELD RD S
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City | COLLIERVILLE
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State | TN
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Zip | 38017-3314
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Country | US
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Telephone | 901-754-6985
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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 | 4854
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2475-89
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License Number State | MS
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