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General NPI Number Information
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NPI Number | 1104849660
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Entity Type | Individual
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Provider Name | WILLIAM EDWARD DINGUS DMD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 110 HIGH ST
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City | NEWARK
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State | NY
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Zip | 14513-1456
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Country | US
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Telephone | 585-278-1063
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Fax |
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Provider Business Mailing Address
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Address Line | 113 JORDACHE LN
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City | SPENCERPORT
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State | NY
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Zip | 14559-2062
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Country | US
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Telephone | 585-889-1122
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 042074
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License Number State | NY
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