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General NPI Number Information
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NPI Number | 1073694881
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Entity Type | Organization
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Legal Business Name | ALAN D JANOFF DDS & DENNIS D BAUM DDS INC
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1203 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45406-5044
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Country | US
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Telephone | 937-275-7448
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Fax | 937-275-0018
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Provider Business Mailing Address
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Address Line | 1203 SALEM AVE
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City | DAYTON
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State | OH
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Zip | 45406-5044
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Country | US
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Telephone | 937-275-7448
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Fax | 937-275-0018
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Authorized Official
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Title or Position | VP DENTIST
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Name | DR. ALAN D JANOFF
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Credential | DDS
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Telephone | 987-275-7448
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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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