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General NPI Number Information
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NPI Number | 1922335462
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Entity Type | Organization
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Legal Business Name | CHRISTINA L. POWERS, DDS, PLLC
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Dates
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Enumeration Date | 11/04/2009
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 10564 US HWY 15-501 SUITE E
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5167
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Country | US
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Telephone | 910-692-5329
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Fax | 910-695-8673
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Provider Business Mailing Address
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Address Line | 10564 US HWY 15-501 SUITE E
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City | SOUTHERN PINES
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State | NC
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Zip | 28387-5167
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Country | US
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Telephone | 910-692-5329
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Fax | 910-695-8673
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MRS. CHRISTINA L POWERS
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Credential | DDS
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Telephone | 910-692-5329
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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 | 8264
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License Number State | NC
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