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General NPI Number Information
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NPI Number | 1881840924
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Entity Type | Organization
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Legal Business Name | CHEROKEE DENTAL CENTER, P.C.
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 01/28/2014
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Provider Practice Location Address
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Address Line | 3210 STONE RD STE B
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City | KILGORE
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State | TX
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Zip | 75662-2966
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Country | US
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Telephone | 903-984-2047
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Fax | 903-983-2980
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Provider Business Mailing Address
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Address Line | NG34 LAKE CHEROKEE
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City | LONGVIEW
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State | TX
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Zip | 75603-9515
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Country | US
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Telephone | 903-643-8442
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Fax | 903-983-2980
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARGARET MEGAN HAMNER
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Credential | D.D.S.
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Telephone | 903-238-3518
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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 | 22188
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License Number State | TX
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