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General NPI Number Information
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NPI Number | 1184662074
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Entity Type | Organization
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Legal Business Name | DRS. DAVID M. ELLER & REGINALD S. OPIMO, DDS INC
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 5187 ROUTE 60 E SUITE 3
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-302-3300
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Fax | 304-302-3303
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Provider Business Mailing Address
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Address Line | 5187 ROUTE 60 E SUITE 3
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City | HUNTINGTON
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State | WV
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Zip | 25705
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Country | US
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Telephone | 304-302-3300
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Fax | 304-302-3303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID M ELLER
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Credential | DDS
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Telephone | 304-302-3300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2211
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License Number State | WV
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