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General NPI Number Information
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NPI Number | 1235224288
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Entity Type | Organization
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Legal Business Name | ANDERSON & MCCRAW PLLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 319 COOL WATER COURT
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-886-0114
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Fax | 270-886-3732
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Provider Business Mailing Address
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Address Line | 319 COOL WATER COURT
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City | HOPKINSVILLE
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State | KY
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Zip | 42240
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Country | US
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Telephone | 270-886-0114
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Fax | 270-886-3732
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ARTHUR NEWTON ANDERSON III
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Credential | DMD MS
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Telephone | 270-886-0114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6441
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 6047
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License Number State | KY
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