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General NPI Number Information
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NPI Number | 1093120529
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Entity Type | Individual
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Provider Name | LAURA MARIE DOSS DDS
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Gender | Female
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Dates
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Enumeration Date | 06/23/2014
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 220 THOMAS MORE PKWY
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017-3424
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Country | US
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Telephone | 859-341-3012
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Fax |
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Provider Business Mailing Address
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Address Line | 3866 HOMEWOOD RD
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City | CINCINNATI
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State | OH
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Zip | 45227-3002
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Country | US
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Telephone | 973-224-7136
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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 | RES 3411
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 30-024676
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License Number State | OH
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