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General NPI Number Information
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NPI Number | 1831434091
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Entity Type | Organization
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Legal Business Name | HAPPY TEETH CORPORATION
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 11/29/2012
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Provider Practice Location Address
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Address Line | 3004 ESTATE ALTONA SUITE 13
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City | ST THOMAS
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State | VI
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Zip | 00802-5735
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Country | US
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Telephone | 340-776-4537
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Fax |
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Provider Business Mailing Address
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Address Line | 3004 ESTATE ALTONA SUITE 13
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City | ST THOMAS
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State | VI
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Zip | 00802-5735
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Country | US
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Telephone | 340-776-4537
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL SCOTT BARROWS
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Credential | D.D.S.
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Telephone | 340-776-4537
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 1139
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License Number State | VI
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