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General NPI Number Information
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NPI Number | 1083800619
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Entity Type | Organization
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Legal Business Name | SPECIALIZED DENTAL CARE PLLC
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Dates
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Enumeration Date | 09/18/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 216 FOUNTAIN CT SUITE 150
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City | LEXINGTON
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State | KY
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Zip | 40509-1888
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Country | US
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Telephone | 859-967-4492
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Fax |
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Provider Business Mailing Address
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Address Line | 216 FOUNTAIN COURT SUITE 150
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City | LEXINGTON
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State | KY
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Zip | 40509
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Country | US
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Telephone | 859-967-4492
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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. RICHARD HANK SALYER
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Credential |
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Telephone | 859-967-4492
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 7126
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License Number State | KY
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