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General NPI Number Information
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NPI Number | 1053727867
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Entity Type | Organization
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Legal Business Name | JAMIE L. THURMAN-TAYLOR, D.D.S., LLC
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Dates
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Enumeration Date | 07/02/2014
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Last Update Date | 07/02/2014
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Provider Practice Location Address
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Address Line | 3568 SW MARKET ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-2327
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Country | US
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Telephone | 816-537-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 3568 SW MARKET ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-2327
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Country | US
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Telephone | 816-537-6161
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JAMIE THURMAN-TAYLOR
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Credential | D.D.S.
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Telephone | 816-799-5859
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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 | MO
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