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General NPI Number Information
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NPI Number | 1861023251
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Entity Type | Organization
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Legal Business Name | BITTY BITES PEDIATRIC DENTISTRY INC.
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Dates
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Enumeration Date | 02/04/2020
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 11600 BUSY ST STE 101
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23236-4066
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Country | US
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Telephone | 804-215-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 411 ROSENEATH RD
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City | RICHMOND
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State | VA
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Zip | 23221-2324
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Country | US
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Telephone | 703-507-4509
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. LINDSEY NORTH
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Credential | DDS, MS
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Telephone | 703-507-4509
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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