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General NPI Number Information
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NPI Number | 1891744959
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Entity Type | Individual
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Provider Name | MARK DAVID ARMISTEAD DMD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 05/19/2015
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Provider Practice Location Address
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Address Line | 2 IRIS ST
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City | ASHEVILLE
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State | NC
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Zip | 28803-2705
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Country | US
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Telephone | 828-252-2791
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Fax |
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Provider Business Mailing Address
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Address Line | 829 NEW STOCK RD
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City | WEAVERVILLE
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State | NC
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Zip | 28787-9330
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Country | US
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Telephone | 910-986-1943
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9423
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License Number State | NC
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