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General NPI Number Information
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NPI Number | 1043601461
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Entity Type | Organization
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Legal Business Name | JEFFREY M NASH DDS INC
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Dates
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Enumeration Date | 02/06/2015
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1136 BLUE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2812
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Country | US
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Telephone | 740-453-1967
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Fax |
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Provider Business Mailing Address
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Address Line | 1136 BLUE AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | JEFFREY MICHAEL NASH
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Credential |
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Telephone | 740-453-1967
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 18357
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License Number State | OH
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