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General NPI Number Information
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NPI Number | 1912092164
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Entity Type | Individual
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Provider Name | GEOFFREY ALAN DEAN DMD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 7736 HIGHWAY 20 W STE 2
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City | HUNTSVILLE
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State | AL
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Zip | 35806-3612
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Country | US
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Telephone | 256-895-0905
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Fax |
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Provider Business Mailing Address
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Address Line | 117 HICKORY GAP TRL
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City | MADISON
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State | AL
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Zip | 35758-1374
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Country | US
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Telephone | 256-509-9521
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5267
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License Number State | AL
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