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General NPI Number Information
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NPI Number | 1033784558
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Entity Type | Organization
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Legal Business Name | HEALTHY & BRIGHT COSMETIC AND FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/26/2021
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 9509 US HIGHWAY 42 STE 102
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City | PROSPECT
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State | KY
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Zip | 40059-9291
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Country | US
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Telephone | 502-228-3578
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Fax |
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Provider Business Mailing Address
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Address Line | 705 EXMOOR AVE
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City | LOUISVILLE
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State | KY
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Zip | 40223-2703
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Country | US
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Telephone | 859-353-7135
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. FOTINA LEFTA-HOSKINS
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Credential | DMD
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Telephone | 859-353-7135
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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 |
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License Number State |
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