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General NPI Number Information
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NPI Number | 1114198132
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Entity Type | Organization
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Legal Business Name | NATHAN SCOTT HOUCHINS P.C.
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 190 TAZEWELL STREET
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City | WYTHEVILLE
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State | VA
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Zip | 24382
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Country | US
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Telephone | 276-223-0006
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Fax | 276-223-0008
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Provider Business Mailing Address
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Address Line | 190 TAZEWELL STREET
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City | WYTHEVILLE
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State | VA
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Zip | 24382
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Country | US
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Telephone | 276-223-0006
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Fax | 276-223-0008
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Authorized Official
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Title or Position | OWENER
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Name | DR. NATHAN SCOTT HOUCHINS
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Credential | DDS
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Telephone | 276-223-0006
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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 | 0401411954
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License Number State | VA
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