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General NPI Number Information
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NPI Number | 1821261306
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Entity Type | Individual
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Provider Name | RAYMOND T WEBBER DDS,MS
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Gender | Male
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Dates
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Enumeration Date | 04/07/2008
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Last Update Date | 04/07/2008
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Provider Practice Location Address
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Address Line | 610 SW 1ST AVE
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City | WILLISTON
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State | FL
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Zip | 32696
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Country | US
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Telephone | 352-529-0055
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Fax | 352-529-2022
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Provider Business Mailing Address
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Address Line | 610 SW 1ST AVE
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City | WILLISTON
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State | FL
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Zip | 32696-2516
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Country | US
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Telephone | 529-352-0055
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Fax | 352-529-2022
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN0009017
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License Number State | FL
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