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General NPI Number Information
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NPI Number | 1437205044
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Entity Type | Organization
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Legal Business Name | JAMES G HUPP DMD MS PA
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 689 BLYTHE STREET CT SUITE C
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4098
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Country | US
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Telephone | 828-693-5333
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Fax | 828-693-5659
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Provider Business Mailing Address
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Address Line | 689 BLYTHE STREET CT SUITE C
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City | HENDERSONVILLE
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State | NC
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Zip | 28739-4098
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Country | US
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Telephone | 828-693-5333
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Fax | 828-693-5659
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES G HUPP
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Credential | D.M.D
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Telephone | 828-693-5333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 6744
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License Number State | NC
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