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General NPI Number Information
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NPI Number | 1922168855
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Entity Type | Organization
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Legal Business Name | AVENT AND HUIE DDS PLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 12725 MCMANUS BLVD BLDG 1 SUITE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23602
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Country | US
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Telephone | 757-874-0660
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Fax | 757-874-0698
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Provider Business Mailing Address
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Address Line | 12725 MCMANUS BLVD BLDG 1 SUITE A
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City | NEWPORT NEWS
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State | VA
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Zip | 23602
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Country | US
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Telephone | 757-874-0660
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Fax | 757-874-0698
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Authorized Official
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Title or Position | CO-OWNER AND DDS
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Name | MARK ALAN HUIE
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Credential | DDS MS
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Telephone | 757-874-0660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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