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General NPI Number Information
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NPI Number | 1881851772
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Entity Type | Organization
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Legal Business Name | BRIGETTA K. TURNER, D.D.S., PLLC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 4510 HANGING MOSS RD
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City | JACKSON
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State | MS
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Zip | 39206-3962
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Country | US
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Telephone | 601-982-2124
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Fax | 601-982-2135
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Provider Business Mailing Address
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Address Line | 4510 HANGING MOSS RD
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City | JACKSON
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State | MS
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Zip | 39206-3962
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Country | US
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Telephone | 601-982-2124
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Fax | 601-982-2135
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRIGETTA KAY TURNER
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Credential | D,D,S,
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Telephone | 601-982-2124
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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 | 2513-89
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License Number State | MS
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