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General NPI Number Information
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NPI Number | 1295906519
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Entity Type | Organization
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Legal Business Name | RICHARD LAPP ORAL & MAXILLOFACIAL SURGERY, INC.
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Dates
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Enumeration Date | 03/13/2008
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Last Update Date | 03/13/2008
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Provider Practice Location Address
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Address Line | 1246 ASHLAND AVE SUITE 201
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City | ZANESVILLE
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State | OH
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Zip | 43701-2861
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Country | US
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Telephone | 740-452-2713
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Fax | 740-452-7395
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Provider Business Mailing Address
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Address Line | 1246 ASHLAND AVE SUITE 201
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City | ZANESVILLE
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State | OH
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Zip | 43701-2861
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Country | US
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Telephone | 740-452-2713
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Fax | 740-452-7395
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | DR. RICHARD LAPP
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Credential | DDS
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Telephone | 740-452-2713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 30011423
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License Number State | OH
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