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General NPI Number Information
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NPI Number | 1205145059
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Entity Type | Organization
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Legal Business Name | THOMASJ EDWARDS DDS INC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 09/28/2010
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Provider Practice Location Address
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Address Line | 2575 MAYSVILLE PIKE
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City | ZANESVILLE
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State | OH
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Zip | 43701-8081
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Country | US
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Telephone | 740-452-1490
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1754
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City | ZANESVILLE
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State | OH
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Zip | 43702-1754
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Country | US
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Telephone | 740-452-1490
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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. THOMAS J EDWARDS
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Credential | DDS
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Telephone | 740-452-1490
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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 |
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License Number State |
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