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General NPI Number Information
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NPI Number | 1831293463
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Entity Type | Individual
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Provider Name | HAROLD KEITH EMMONS DMD
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1130 1ST ST N
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City | ALABASTER
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State | AL
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Zip | 35007-8771
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Country | US
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Telephone | 205-663-1280
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Fax | 205-663-5565
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Provider Business Mailing Address
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Address Line | PO BOX 799 1130 1ST STREET N.
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City | ALABASTER
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State | AL
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Zip | 35007-2049
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Country | US
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Telephone | 205-663-1280
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Fax | 205-663-5565
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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 | 3933
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License Number State | AL
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