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General NPI Number Information
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NPI Number | 1073800033
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Entity Type | Individual
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Provider Name | DANIEL SLUSHER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2011
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Last Update Date | 06/01/2018
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Provider Practice Location Address
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Address Line | 1517 CUMBERLAND AVE
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City | MIDDLESBORO
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State | KY
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Zip | 40965
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Country | US
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Telephone | 606-248-7661
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Fax | 606-242-2749
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Provider Business Mailing Address
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Address Line | 453 HIGHWAY 190
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City | PINEVILLE
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State | KY
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Zip | 40977-8619
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Country | US
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Telephone | 606-337-9643
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 9349
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License Number State | TN
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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 | 9077
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 9077
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License Number State | KY
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