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General NPI Number Information
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NPI Number | 1396853156
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Entity Type | Individual
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Provider Name | JASON A CURTIS DMD
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Gender | Male
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 347 MAIN STREET
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City | GORHAM
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State | ME
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Zip | 04038
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Country | US
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Telephone | 207-839-3006
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Fax | 207-839-4593
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Provider Business Mailing Address
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Address Line | 347 MAIN ST
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City | GORHAM
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State | ME
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Zip | 04038-1338
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Country | US
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Telephone | 207-839-3006
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Fax | 207-839-4593
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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 | 3630
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License Number State | ME
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