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General NPI Number Information
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NPI Number | 1922540400
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Entity Type | Organization
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Legal Business Name | CENTRAL DENTAL SEARCY, PLLC
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Dates
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Enumeration Date | 11/15/2016
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Last Update Date | 11/15/2016
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Provider Practice Location Address
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Address Line | 1113 S MAIN ST
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City | SEARCY
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State | AR
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Zip | 72143-7318
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Country | US
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Telephone | 501-268-5371
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Fax | 501-268-8998
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Provider Business Mailing Address
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Address Line | 1113 S MAIN ST
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City | SEARCY
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State | AR
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Zip | 72143-7318
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Country | US
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Telephone | 501-268-5371
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Fax | 501-268-8998
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Authorized Official
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Title or Position | OFFICE COORDINATOR
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Name | EDITH I PEREZ
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Credential |
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Telephone | 501-438-3870
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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 |
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License Number State |
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