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NPI 1902440639

NPI 1902440639 : J ALAN RAY, DDS-PA : BURNSVILLE, NC

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General NPI Number Information
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    NPI Number           |    1902440639
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    Entity Type          |    Organization 
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    Legal Business Name  |    J ALAN RAY, DDS-PA 
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Dates
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    Enumeration Date     |    11/06/2019
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    Last Update Date     |    11/06/2019
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Provider Practice Location Address
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    Address Line         |    131 EAST MAIN COURT, SUITE A 
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    City                 |    BURNSVILLE
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    State                |    NC
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    Zip                  |    28714-2871
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    Country              |    US
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    Telephone            |    828-682-2979
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    P.O. 158 
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    City                 |    BURNSVILLE
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    State                |    NC
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    Zip                  |    28714
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    Country              |    US
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    Telephone            |    828-682-2979
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    Fax                  |    828-682-2988
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Authorized Official
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    Title or Position    |    OFFICE ADMIN
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    Name                 |    MRS. COURTNEY GREENE BUCHANAN 
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    Credential           |    
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    Telephone            |    828-682-2979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    
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    License Number State |    
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