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General NPI Number Information
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NPI Number | 1184648115
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Entity Type | Individual
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Provider Name | C TODD COX DMD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 05/20/2019
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Provider Practice Location Address
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Address Line | 260 S PEACHTREE PKWY
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1700
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Country | US
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Telephone | 770-486-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 260 S PEACHTREE PKWY
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-1700
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Country | US
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Telephone | 770-486-9400
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 011313
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 011313
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License Number State | GA
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