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General NPI Number Information
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NPI Number | 1033405816
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Entity Type | Individual
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Provider Name | JONATHAN W. DRANEY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/21/2011
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Last Update Date | 03/14/2014
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Provider Practice Location Address
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Address Line | 121 E 6TH AVE SUITE 101
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City | LANCASTER
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State | OH
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Zip | 43130-2595
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Country | US
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Telephone | 740-475-0700
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Fax | 740-475-0703
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Provider Business Mailing Address
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Address Line | 1678 JUPITER AVE
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City | HILLIARD
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State | OH
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Zip | 43026-9572
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Country | US
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Telephone | 435-724-1575
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | RES.3070
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License Number State | OH
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