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General NPI Number Information
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NPI Number | 1902787823
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Entity Type | Individual
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Provider Name | DEVON PRATT DMD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 7101 HOFF ST
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City | FORT BENNING
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State | GA
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Zip | 31905-5645
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Country | US
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Telephone | 706-544-2052
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Fax |
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Provider Business Mailing Address
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Address Line | 6700 RIVER RD APT 1201
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City | COLUMBUS
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State | GA
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Zip | 31904-2758
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Country | US
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Telephone | 980-210-4827
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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 | 14239544-9926
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License Number State | UT
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