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General NPI Number Information
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NPI Number | 1073809950
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Entity Type | Organization
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Legal Business Name | DAWN PINGLETON, DO
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Dates
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Enumeration Date | 06/20/2011
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Last Update Date | 07/29/2011
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Provider Practice Location Address
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Address Line | 217 S 3RD ST
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City | DANVILLE
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State | KY
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Zip | 40422-1823
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Country | US
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Telephone | 859-239-1470
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Fax | 859-239-6905
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Provider Business Mailing Address
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Address Line | 66 GABBARDTOWN RD
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City | BEREA
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State | KY
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Zip | 40403-9215
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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 | OWNER
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Name | DR. DAWN E. PINGLETON
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Credential | D.O.
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Telephone | 859-263-4341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 03176
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License Number State | KY
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