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General NPI Number Information
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NPI Number | 1851740534
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Entity Type | Organization
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Legal Business Name | ORTHODONTIC CARE OF CAROLINA, PA
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Dates
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Enumeration Date | 06/03/2016
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Last Update Date | 06/03/2016
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Provider Practice Location Address
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Address Line | 3850 N CAUSEWAY BLVD SUITE 800
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City | METAIRIE
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State | LA
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Zip | 70002-1752
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Country | US
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Telephone | 864-576-2828
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Fax | 864-576-2864
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Provider Business Mailing Address
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Address Line | 3850 N CAUSEWAY BLVD SUITE 800
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City | METAIRIE
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State | LA
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Zip | 70002-1752
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Country | US
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Telephone | 864-576-2828
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Fax | 864-576-2864
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Authorized Official
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Title or Position | OWNER
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Name | DR. FORD SAWYER COOPER
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Credential | D.D.S.
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Telephone | 864-576-2828
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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 | 3205
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License Number State | SC
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