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General NPI Number Information
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NPI Number | 1861928202
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Entity Type | Organization
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Legal Business Name | RAANNE RAY TINDLE D.M.D., P.A.
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 05/04/2017
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Provider Practice Location Address
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Address Line | 601 W SUNFLOWER RD
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City | CLEVELAND
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State | MS
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Zip | 38732-2527
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Country | US
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Telephone | 662-846-1570
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Fax | 662-846-1576
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Provider Business Mailing Address
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Address Line | 601 W SUNFLOWER RD
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City | CLEVELAND
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State | MS
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Zip | 38732-2527
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Country | US
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Telephone | 662-846-1570
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Fax | 662-846-1576
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAANNE RAY TINDLE
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Credential | DMD
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Telephone | 662-846-1570
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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 |
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License Number State |
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