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General NPI Number Information
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NPI Number | 1841274149
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Entity Type | Individual
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Provider Name | DWEEN MUSE DMD, MS
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Gender | Female
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 01/14/2013
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Provider Practice Location Address
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Address Line | 1121 DELAWARE AVE
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City | MCCOMB
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State | MS
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Zip | 39648-3829
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Country | US
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Telephone | 601-684-2814
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Fax | 601-684-8540
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Provider Business Mailing Address
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Address Line | 1121 DELAWARE AVE
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City | MCCOMB
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State | MS
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Zip | 39648-3829
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Country | US
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Telephone | 601-684-2814
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Fax | 601-684-8540
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | OR-172-90
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License Number State | MS
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