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General NPI Number Information
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NPI Number | 1346335098
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Entity Type | Organization
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Legal Business Name | TAWNYA L MUSE DMD PSC
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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 | 3810 SOUTH HWY 27 SUITE 5
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 606-678-0978
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Fax | 606-678-9218
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Provider Business Mailing Address
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Address Line | 3810 SOUTH HWY 27 SUITE 5
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City | SOMERSET
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State | KY
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Zip | 42501
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Country | US
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Telephone | 606-678-0978
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Fax | 606-678-9218
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAWNYA L MUSE
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Credential | DMD
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Telephone | 606-678-0978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6672
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License Number State | KY
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