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General NPI Number Information
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NPI Number | 1215259585
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Entity Type | Organization
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Legal Business Name | JOHN P.GATES DDS INC.
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Dates
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Enumeration Date | 02/26/2010
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Last Update Date | 02/26/2010
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Provider Practice Location Address
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Address Line | 3249 MONTGOMERY RD
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City | LOVELAND
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State | OH
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Zip | 45140-1004
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Country | US
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Telephone | 513-683-3838
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Fax |
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Provider Business Mailing Address
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Address Line | 3249 MONTGOMERY RD
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City | LOVELAND
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State | OH
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Zip | 45140-1004
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Country | US
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Telephone | 513-683-3838
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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. JOHN P GATES
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Credential | DDS
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Telephone | 513-683-3838
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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 | 30-01-5432
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License Number State | OH
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