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General NPI Number Information
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NPI Number | 1902290885
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Entity Type | Organization
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Legal Business Name | MATTHEW ALDRED, D.D.S., P.C.
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 03/27/2015
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Provider Practice Location Address
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Address Line | 17084 MOUNTAIN RD
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City | MONTPELIER
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State | VA
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Zip | 23192-2565
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Country | US
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Telephone | 804-883-6070
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Fax | 804-883-6070
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Provider Business Mailing Address
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Address Line | 17084 MOUNTAIN RD
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City | MONTPELIER
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State | VA
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Zip | 23192-2565
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Country | US
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Telephone | 804-883-6070
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Fax | 804-883-6070
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW HURRELL ALDRED
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Credential | D.D.S.
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Telephone | 434-466-9563
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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 | 0401413284
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License Number State | VA
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