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General NPI Number Information
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NPI Number | 1235558511
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Entity Type | Organization
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Legal Business Name | DANIEL P. WEST, DDS
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 1401 E 1ST ST
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City | DUMAS
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State | TX
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Zip | 79029-3501
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Country | US
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Telephone | 806-935-2725
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Fax | 806-935-2680
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Provider Business Mailing Address
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Address Line | PO BOX 740
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City | DUMAS
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State | TX
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Zip | 79029-0740
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Country | US
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Telephone | 806-935-2725
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Fax | 806-935-2680
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. ANGELA H. WEST
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Credential |
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Telephone | 806-935-2725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 14377
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License Number State | TX
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