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General NPI Number Information
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NPI Number | 1427667500
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH DENTAL PARTNERS LLC
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Dates
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Enumeration Date | 07/24/2020
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 401 E MECHANIC ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2427
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Country | US
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Telephone | 816-887-2008
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Fax | 816-817-0046
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Provider Business Mailing Address
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Address Line | 401 E MECHANIC ST
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City | HARRISONVILLE
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State | MO
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Zip | 64701-2427
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Country | US
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Telephone | 816-887-2008
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Fax | 816-817-0046
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Authorized Official
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Title or Position | DOCTOR
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Name | MR. JOSHUA WHITFORD
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Credential | DDS
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Telephone | 816-322-2292
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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 |
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License Number State |
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