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General NPI Number Information
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NPI Number | 1922368281
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Entity Type | Organization
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Legal Business Name | TURNAGE FAMILY DENTISTRY, PLLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 505 SPRINGRIDGE RD STE C
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City | CLINTON
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State | MS
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Zip | 39056-5612
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Country | US
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Telephone | 601-924-4494
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Fax |
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Provider Business Mailing Address
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Address Line | 505 SPRINGRIDGE RD STE C
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City | CLINTON
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State | MS
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Zip | 39056-5612
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Country | US
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Telephone | 601-924-4494
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. APRIL A TURNAGE
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Credential | D.M.D.
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Telephone | 601-924-4494
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 3471
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License Number State | MS
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