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General NPI Number Information
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NPI Number | 1831257781
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Entity Type | Individual
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Provider Name | NOEL KARL CHILDERS DDS
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1919 7TH AVE S 1600 7TH AVE S CLINIC 9
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City | BIRMINGHAM
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State | AL
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Zip | 35294-0007
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Country | US
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Telephone | 205-934-3230
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Fax | 205-934-7013
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Provider Business Mailing Address
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Address Line | 1919 7TH AVE S SDB BOX 58 1
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City | BIRMINGHAM
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State | AL
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Zip | 35294
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Country | US
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Telephone | 205-934-2340
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Fax | 205-934-7899
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 3832
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 8130
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License Number State | FL
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