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General NPI Number Information
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NPI Number | 1093817835
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Entity Type | Organization
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Legal Business Name | ATHENS DENTAL ARTS
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 207 N COLUMBUS ROAD
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City | ATHENS
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State | OH
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Zip | 45701
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Country | US
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Telephone | 740-593-8530
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Fax | 740-594-2215
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Provider Business Mailing Address
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Address Line | 207 N COLUMBUS ROAD
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City | ATHENS
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State | OH
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Zip | 45701-1335
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Country | US
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Telephone | 740-593-8530
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Fax | 740-594-2215
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELIZABETH C WELSH
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Credential | DDS
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Telephone | 740-593-8530
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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 | 20749
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License Number State | OH
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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 | 17938
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 14320
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License Number State | OH
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