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General NPI Number Information
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NPI Number | 1902816796
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Entity Type | Organization
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Legal Business Name | WILLIAM J. GUTHRIE, D.D.S., P.A.
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 1278 JUSTIN RD SUITE 108
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City | LEWISVILLE
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State | TX
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Zip | 75077-2231
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Country | US
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Telephone | 972-317-1581
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Fax | 972-318-4836
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Provider Business Mailing Address
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Address Line | 1278 JUSTIN RD SUITE 108
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City | LEWISVILLE
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State | TX
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Zip | 75077-2231
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Country | US
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Telephone | 972-317-1581
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Fax | 972-318-4836
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. WILLIAM JAMES GUTHRIE
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Credential | D.D.S.
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Telephone | 972-317-1581
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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 | 12840
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License Number State | TX
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