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General NPI Number Information
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NPI Number | 1841478815
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Entity Type | Organization
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Legal Business Name | SCOTT A TURIK DDS PA
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 02/01/2008
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Provider Practice Location Address
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Address Line | 105 N CORBETT AVE
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City | KENLY
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State | NC
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Zip | 27542-0483
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Country | US
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Telephone | 919-284-2254
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 483 105 N CORBETT AVENUE
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City | KENLY
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State | NC
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Zip | 27542-0483
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Country | US
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Telephone | 919-284-2254
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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. SCOTT ALAN TURIK
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Credential | DDS
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Telephone | 919-284-2254
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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 | 5194
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License Number State | NC
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