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General NPI Number Information
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NPI Number | 1366908238
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Entity Type | Individual
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Provider Name | JOSHUA LOVICK DMD
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Gender | Male
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 3912 E 10TH ST
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City | GREENVILLE
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State | NC
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Zip | 27858-8798
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Country | US
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Telephone | 252-751-0770
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Fax |
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Provider Business Mailing Address
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Address Line | 2144 AUTUMN DR
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City | KINSTON
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State | NC
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Zip | 28501-7223
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Country | US
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Telephone | 252-286-5674
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Fax |
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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 | 10976
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License Number State | NC
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