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General NPI Number Information
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NPI Number | 1285976589
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Entity Type | Organization
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Legal Business Name | HOWARD AND HOWARD DENTAL, P.L.L.C.
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Dates
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Enumeration Date | 03/25/2013
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Last Update Date | 03/25/2013
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Provider Practice Location Address
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Address Line | 1321 VIRGINIA ST E STE A
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City | CHARLESTON
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State | WV
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Zip | 25301-3053
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Country | US
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Telephone | 304-343-8805
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Fax | 304-343-8806
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Provider Business Mailing Address
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Address Line | 1321 VIRGINIA ST E
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City | CHARLESTON
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State | WV
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Zip | 25301-3053
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Country | US
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Telephone | 304-343-8805
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Fax | 304-343-8806
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | DR. EDWARD ELIAS HOWARD
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Credential | D.D.S.
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Telephone | 304-343-8805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2929
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License Number State | WV
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