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NPI 1023557162

NPI 1023557162 : DOWNTOWN FINDLAY DENTAL, JEFFREY A. EVANS, DDS, LLC : FINDLAY, OH

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General NPI Number Information
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    NPI Number           |    1023557162
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    Entity Type          |    Organization 
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    Legal Business Name  |    DOWNTOWN FINDLAY DENTAL, JEFFREY A. EVANS, DDS, LLC 
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Dates
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    Enumeration Date     |    02/22/2017
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    Last Update Date     |    02/22/2017
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Provider Practice Location Address
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    Address Line         |    223 W CRAWFORD ST 
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    City                 |    FINDLAY
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    State                |    OH
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    Zip                  |    45840-3203
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    Country              |    US
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    Telephone            |    419-422-9034
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    Fax                  |    419-422-9035
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Provider Business Mailing Address
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    Address Line         |    223 W CRAWFORD ST 
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    City                 |    FINDLAY
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    State                |    OH
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    Zip                  |    45840-3203
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    Country              |    US
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    Telephone            |    419-422-9034
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    Fax                  |    419-422-9035
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. KIMBERLY S EVANS 
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    Credential           |    
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    Telephone            |    740-607-0442
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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       |    30022618
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    License Number State |    OH
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