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General NPI Number Information
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NPI Number | 1871773341
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Entity Type | Organization
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Legal Business Name | RICHARD E. ANGLIN, JR. DDS, MS, PA
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 07/25/2008
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Provider Practice Location Address
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Address Line | 516 ERWIN RD
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City | DUNN
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State | NC
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Zip | 28334-4518
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Country | US
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Telephone | 910-980-1915
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Fax | 910-980-1944
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Provider Business Mailing Address
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Address Line | 516 ERWIN RD
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City | DUNN
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State | NC
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Zip | 28334-4518
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Country | US
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Telephone | 910-980-1915
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Fax | 910-980-1944
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD ANGLIN JR.
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Credential | DDS, MS, PA
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Telephone | 910-980-1915
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 3419
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License Number State | NC
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