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General NPI Number Information
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NPI Number | 1114145521
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Entity Type | Organization
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Legal Business Name | J E JUDD DDS INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/22/2008
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Provider Practice Location Address
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Address Line | 7800 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-3106
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Country | US
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Telephone | 513-521-6098
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Fax | 513-521-6099
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Provider Business Mailing Address
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Address Line | 7800 HAMILTON AVE
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City | CINCINNATI
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State | OH
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Zip | 45231-3106
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Country | US
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Telephone | 513-521-6098
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Fax | 513-521-6099
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUDSON E JUDD
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Credential | DDS
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Telephone | 513-521-6098
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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 | 30013023
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License Number State | OH
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