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General NPI Number Information
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NPI Number | 1912026741
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Entity Type | Individual
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Provider Name | TERESA LYNN CARTWRIGHT DMD
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Gender | Female
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Dates
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Enumeration Date | 03/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 530 SPRUCE AVE
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City | CABOOL
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State | MO
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Zip | 65689
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Country | US
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Telephone | 417-962-3150
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Fax | 417-962-5839
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Provider Business Mailing Address
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Address Line | PO BOX 829
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City | CABOOL
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State | MO
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Zip | 65689-0829
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Country | US
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Telephone | 417-962-3150
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Fax | 417-962-5839
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 014462
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License Number State | MO
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