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General NPI Number Information
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NPI Number | 1912909631
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Entity Type | Individual
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Provider Name | AARON BENTLY CARNER DMD, MS
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Gender | Male
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Dates
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Enumeration Date | 08/12/2005
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Last Update Date | 09/11/2007
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Provider Practice Location Address
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Address Line | 110 VENTURE COURT
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City | GREENWOOD
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State | SC
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Zip | 29649
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Country | US
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Telephone | 864-223-0543
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Fax | 864-223-3241
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Provider Business Mailing Address
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Address Line | 110 VENTURE COURT
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City | GREENWOOD
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State | SC
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Zip | 29649-1940
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Country | US
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Telephone | 864-223-0543
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Fax | 864-223-3241
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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 | 4089
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 7598
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 12680
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 8355
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License Number State | TN
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Taxonomy #5
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 0401411018
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License Number State | VA
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Taxonomy #6
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 612
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License Number State | SC
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