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General NPI Number Information
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NPI Number | 1891958203
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Entity Type | Organization
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Legal Business Name | ARTHUR L. BRUCE, DMD
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Dates
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Enumeration Date | 07/07/2008
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Last Update Date | 07/07/2008
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Provider Practice Location Address
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Address Line | 896 S MECHANIC ST
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City | PENDLETON
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State | SC
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Zip | 29670-1813
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Country | US
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Telephone | 864-646-7152
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Fax | 864-646-7112
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Provider Business Mailing Address
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Address Line | 896 S MECHANIC ST
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City | PENDLETON
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State | SC
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Zip | 29670-1813
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Country | US
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Telephone | 864-646-7152
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Fax | 864-646-7112
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KATHY Z BRUCE
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Credential |
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Telephone | 864-646-7152
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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 | 2093
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License Number State | SC
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