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General NPI Number Information
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NPI Number | 1861971095
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Entity Type | Organization
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Legal Business Name | FRANKLIN DENTAL STUDIO
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Dates
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Enumeration Date | 08/08/2018
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Last Update Date | 08/08/2018
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Provider Practice Location Address
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Address Line | 3046 COLUMBIA AVE STE 201
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City | FRANKLIN
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State | TN
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Zip | 37064-7440
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Country | US
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Telephone | 615-804-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 323 SEVEN SPRINGS WAY APT 231
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City | BRENTWOOD
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State | TN
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Zip | 37027-5574
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Country | US
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Telephone | 615-804-5101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SCOTT WUNDERLICH RACHELS JR.
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Credential | DDS
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Telephone | 615-804-5101
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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 | DS0000009706
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License Number State | TN
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