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General NPI Number Information
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NPI Number | 1043347396
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Entity Type | Organization
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Legal Business Name | ADKINS FAMILY AND COSMETIC DENTISTRY
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Dates
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Enumeration Date | 02/27/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 2704 OLD ROSEBUD ROAD STE.# 210
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City | LEXINGTON
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State | KY
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Zip | 40509
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Country | US
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Telephone | 859-543-0333
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Fax | 859-543-0774
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Provider Business Mailing Address
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Address Line | 2704 OLD ROSEBUD ROAD STE.# 210
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City | LEXINGTON
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State | KY
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Zip | 40509
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Country | US
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Telephone | 859-543-0333
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Fax | 859-543-0774
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RUTH A ADKINS
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Credential | DMD
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Telephone | 859-543-0333
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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 | 8012
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License Number State | KY
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