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General NPI Number Information
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NPI Number | 1861210544
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Entity Type | Organization
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Legal Business Name | LOY DENTAL CARE PC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 415 S MAIN ST STE 101
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City | CULPEPER
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State | VA
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Zip | 22701-3153
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Country | US
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Telephone | 540-825-7676
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Fax |
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Provider Business Mailing Address
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Address Line | 415 S MAIN ST STE 101
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City | CULPEPER
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State | VA
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Zip | 22701-3153
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Country | US
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Telephone | 540-825-7676
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SANDRA K NEIBERT
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Credential |
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Telephone | 540-825-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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