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General NPI Number Information
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NPI Number | 1053671065
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Entity Type | Organization
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Legal Business Name | TODD K. PIEPER D.D.S. FAMILY DENTISTRY
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Dates
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Enumeration Date | 05/23/2012
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Last Update Date | 05/23/2012
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Provider Practice Location Address
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Address Line | 5386 COX-SMITH RD. SUITE B
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City | MASON
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State | OH
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Zip | 45040-6803
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Country | US
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Telephone | 513-229-0499
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Fax | 513-229-0496
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Provider Business Mailing Address
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Address Line | 5386 COX-SMITH RD. SUITE B
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City | MASON
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State | OH
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Zip | 45040-6803
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Country | US
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Telephone | 513-229-0499
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Fax | 513-229-0496
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Authorized Official
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Title or Position | DENTIST / OWNER
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Name | DR. TODD KNIGHTEN PIEPER
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Credential | D.D.S.
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Telephone | 513-229-0499
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.018036
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License Number State | OH
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