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General NPI Number Information
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NPI Number | 1215060363
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Entity Type | Organization
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Legal Business Name | DONALD POWERS DDS,INC.
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 05/21/2020
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Provider Practice Location Address
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Address Line | 9381 W SPRAGUE RD
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-1209
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Country | US
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Telephone | 440-885-5463
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Fax | 440-885-5191
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Provider Business Mailing Address
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Address Line | 9381 W SPRAGUE RD
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City | NORTH ROYALTON
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State | OH
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Zip | 44133-1209
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Country | US
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Telephone | 440-885-5463
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Fax | 440-885-5191
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. DONALD PAUL POWERS
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Credential | D.D.S.
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Telephone | 440-885-5463
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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 | 30-016689
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License Number State | OH
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