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General NPI Number Information
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NPI Number | 1982867974
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Entity Type | Individual
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Provider Name | BEVERLY JOANN GARRETT D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 03/14/2012
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Provider Practice Location Address
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Address Line | 213 E 5TH AVE
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City | RANSON
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State | WV
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Zip | 25438-1613
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Country | US
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Telephone | 304-728-8199
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Fax | 304-728-8165
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Provider Business Mailing Address
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Address Line | PO BOX 700
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City | RANSON
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State | WV
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Zip | 25438-0700
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Country | US
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Telephone | 304-728-8199
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Fax | 304-728-8165
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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 | 2851
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License Number State | WV
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