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General NPI Number Information
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NPI Number | 1376533216
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Entity Type | Individual
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Provider Name | STRIDER ARAGORN MCCASH DDS
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Gender | Male
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Dates
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Enumeration Date | 10/23/2005
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Last Update Date | 09/18/2012
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Provider Practice Location Address
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Address Line | 27479 HWY 64
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City | ANGEL FIRE
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State | NM
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Zip | 87710
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Country | US
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Telephone | 575-377-1383
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Fax |
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Provider Business Mailing Address
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Address Line | HC 71 BOX 85
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City | EAGLE NEST
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State | NM
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Zip | 87718-9704
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Country | US
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Telephone | 575-377-1383
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DD2040
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License Number State | NM
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