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General NPI Number Information
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NPI Number | 1174983894
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Entity Type | Organization
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Legal Business Name | ADAM J DOSS DMD PC
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Dates
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Enumeration Date | 02/24/2016
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 3136 DEANS BRIDGE RD
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City | AUGUSTA
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State | GA
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Zip | 30906-9348
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Country | US
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Telephone | 706-790-3011
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Fax | 706-796-8416
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Provider Business Mailing Address
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Address Line | 3136 DEANS BRIDGE RD
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City | AUGUSTA
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State | GA
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Zip | 30906-9348
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Country | US
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Telephone | 706-790-3011
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Fax | 706-796-8416
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | ADAM J DOSS
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Credential | DMD
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Telephone | 706-728-1903
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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 | DN014245
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License Number State | GA
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