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NPI 1952412116

NPI 1952412116 : ANTHONY HUGH ARMSTRONG JR. DMD : JESUP, GA

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General NPI Number Information
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    NPI Number           |    1952412116
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    Entity Type          |    Individual 
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    Provider Name        |    ANTHONY HUGH ARMSTRONG JR. DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/31/2006
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    Last Update Date     |    10/03/2013
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Provider Practice Location Address
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    Address Line         |    107 DRENNON DR 
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    City                 |    JESUP
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    State                |    GA
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    Zip                  |    31545-0011
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    Country              |    US
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    Telephone            |    912-427-7072
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    Fax                  |    912-427-9350
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Provider Business Mailing Address
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    Address Line         |    107 DRENNON DR 
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    City                 |    JESUP
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    State                |    GA
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    Zip                  |    31545-0011
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    Country              |    US
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    Telephone            |    912-427-7072
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    Fax                  |    912-427-9350
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    DN013359
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    License Number State |    GA
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