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General NPI Number Information
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NPI Number | 1881402956
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Entity Type | Organization
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Legal Business Name | WARRENTON DENTAL CARE, PLLC
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Dates
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Enumeration Date | 12/20/2024
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 381 STUYVESANT ST
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City | WARRENTON
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State | VA
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Zip | 20186-2400
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Country | US
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Telephone | 540-347-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 381 STUYVESANT ST
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City | WARRENTON
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State | VA
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Zip | 20186-2400
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Country | US
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Telephone | 540-347-2233
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Fax |
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Authorized Official
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Title or Position | PARTNER/DENTIST
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Name | RYAN MICHAEL SHEARER
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Credential | DDS
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Telephone | 540-347-2233
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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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