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General NPI Number Information
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NPI Number | 1215110242
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Entity Type | Individual
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Provider Name | JI AE CUTTER D.M.D
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Gender | Female
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Dates
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Enumeration Date | 12/13/2007
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 6376 SPRING MOUNTAIN RD #3
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City | LAS VEGAS
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State | NV
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Zip | 89146
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Country | US
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Telephone | 702-220-8488
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Fax | 702-476-6573
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Provider Business Mailing Address
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Address Line | 6376 SPRING MOUNTAIN RD #3
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City | LAS VEGAS
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State | NV
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Zip | 89146
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Country | US
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Telephone | 702-220-8488
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Fax | 702-476-6573
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5578
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License Number State | NV
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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 | 6647229-9922
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 27544
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 100168
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License Number State | CA
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