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General NPI Number Information
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NPI Number | 1356325864
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Entity Type | Individual
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Provider Name | CHARLES ARTHUR HANDY D.D.S
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 716 1ST STREET
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City | KEOSAUQUA
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State | IA
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Zip | 52565
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Country | US
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Telephone | 319-293-3429
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Fax |
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Provider Business Mailing Address
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Address Line | 716 1ST STREET
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City | KEOSAUQUA
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State | IA
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Zip | 52652
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Country | US
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Telephone | 319-293-3428
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Fax | 319-293-6326
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 5694
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License Number State | IA
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