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NPI 1194303255

NPI 1194303255 : H. FRED HOWARD, DMD, PSC : HARLAN, KY

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General NPI Number Information
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    NPI Number           |    1194303255
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    Entity Type          |    Organization 
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    Legal Business Name  |    H. FRED HOWARD, DMD, PSC 
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Dates
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    Enumeration Date     |    03/31/2021
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    Last Update Date     |    03/31/2021
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Provider Practice Location Address
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    Address Line         |    301 E CENTRAL ST 
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    City                 |    HARLAN
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    State                |    KY
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    Zip                  |    40831-2303
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    Country              |    US
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    Telephone            |    606-273-3999
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5 
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    City                 |    HARLAN
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    State                |    KY
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    Zip                  |    40831-0005
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    Country              |    US
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    Telephone            |    606-273-3999
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. HORACE FRED HOWARD 
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    Credential           |    DMD
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    Telephone            |    606-273-3999
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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       |    
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    License Number State |    
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