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General NPI Number Information
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NPI Number | 1922309384
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Entity Type | Organization
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Legal Business Name | MICHAEL T MCALLISTER DDS PA
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 745 US HIGHWAY 117 S C
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City | BURGAW
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State | NC
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Zip | 28425-7746
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Country | US
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Telephone | 910-259-3733
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Fax | 910-259-3734
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Provider Business Mailing Address
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Address Line | 745 US HIGHWAY 117 S C
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City | BURGAW
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State | NC
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Zip | 28425-7746
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Country | US
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Telephone | 910-259-3733
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Fax | 910-259-3734
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ALICE H WOOD
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Credential |
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Telephone | 910-259-3733
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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 | 7785
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License Number State | NC
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