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NPI 1982487419

NPI 1982487419 : CONFIDENT : ALPHARETTA, GA

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General NPI Number Information
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    NPI Number           |    1982487419
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    Entity Type          |    Organization 
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    Legal Business Name  |    CONFIDENT 
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Dates
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    Enumeration Date     |    08/17/2023
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    Last Update Date     |    08/17/2023
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Provider Practice Location Address
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    Address Line         |    11550 WEBB BRIDGE WAY STE 1 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30005-5213
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    Country              |    US
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    Telephone            |    770-772-0994
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    Fax                  |    770-772-4966
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Provider Business Mailing Address
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    Address Line         |    11550 WEBB BRIDGE WAY STE 1 
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    City                 |    ALPHARETTA
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    State                |    GA
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    Zip                  |    30005-5213
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    Country              |    US
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    Telephone            |    770-772-0994
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    Fax                  |    770-772-4966
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Authorized Official
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    Title or Position    |    OWNER/ DOCTOR
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    Name                 |     CESAR  TAPIA-VERA 
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    Credential           |    DDS, MICOI, MAAIP
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    Telephone            |    770-772-0994
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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       |    
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    License Number State |    
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