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General NPI Number Information
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NPI Number | 1144643792
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Entity Type | Organization
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Legal Business Name | CARING FAMILY DENTISTRY INC
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Dates
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Enumeration Date | 01/31/2014
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Last Update Date | 01/31/2014
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Provider Practice Location Address
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Address Line | 125 W BROADWAY ST
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City | SHELBYVILLE
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State | IN
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Zip | 46176-1201
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Country | US
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Telephone | 317-421-0403
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Fax | 317-421-0412
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Provider Business Mailing Address
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Address Line | 125 W BROADWAY ST
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City | SHELBYVILLE
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State | IN
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Zip | 46176-1201
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Country | US
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Telephone | 317-421-0403
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Fax | 317-421-0412
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ROBERT JAMES CAIRD
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Credential | DENTIST
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Telephone | 317-640-7755
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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 | 12008556A
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License Number State | IN
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