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General NPI Number Information
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NPI Number | 1962014696
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Entity Type | Individual
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Provider Name | NEKO LYNN WEBB DDS
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Gender | Male
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Dates
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Enumeration Date | 08/24/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 2050 SKIBO RD STE 104
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City | FAYETTEVILLE
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State | NC
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Zip | 28314-3161
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Country | US
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Telephone | 910-605-4106
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Fax |
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Provider Business Mailing Address
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Address Line | 5209 HORIZON DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28312-8505
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Country | US
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Telephone | 910-257-2617
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Fax |
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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 | 12018
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License Number State | NC
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