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General NPI Number Information
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NPI Number | 1023384187
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Entity Type | Organization
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Legal Business Name | INMAN AND BALDWIN ORTHODONTICS
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 520 N MILES ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1874
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Country | US
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Telephone | 270-769-1349
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Fax | 270-769-4605
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Provider Business Mailing Address
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Address Line | 520 N MILES ST
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-1874
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Country | US
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Telephone | 270-769-1349
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Fax | 270-769-4605
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Authorized Official
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Title or Position | PARTNER
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Name | DR. GREGORY KEITH INMAN
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Credential | D.M.D.
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Telephone | 270-769-1349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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