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General NPI Number Information
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NPI Number | 1265777064
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Entity Type | Organization
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Legal Business Name | JOHN F. DAHM, D.D.S., P.A.
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Dates
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Enumeration Date | 12/05/2012
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Last Update Date | 12/05/2012
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Provider Practice Location Address
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Address Line | 2411 N MAIN ST
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City | HUTCHINSON
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State | KS
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Zip | 67502-3638
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Country | US
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Telephone | 620-665-5582
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Fax | 620-665-6073
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Provider Business Mailing Address
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Address Line | 2411 N MAIN ST
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City | HUTCHINSON
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State | KS
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Zip | 67502-3638
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Country | US
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Telephone | 620-665-5582
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Fax | 620-665-6073
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. LIZ H ELMORE
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Credential |
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Telephone | 620-665-5582
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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 | 6348
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License Number State | KS
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