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General NPI Number Information
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NPI Number | 1972161321
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Entity Type | Individual
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Provider Name | LAURA BETH HAYMORE DDS
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Gender | Female
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 1682 WESTBROOK AVE
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City | BURLINGTON
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State | NC
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Zip | 27215-9700
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Country | US
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Telephone | 336-226-8406
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Fax |
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Provider Business Mailing Address
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Address Line | 2904 S NC HIGHWAY 119
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City | MEBANE
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State | NC
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Zip | 27302-8328
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Country | US
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Telephone | 919-491-3494
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 11399
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 11399
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License Number State | NC
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