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General NPI Number Information
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NPI Number | 1437208501
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Entity Type | Organization
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Legal Business Name | FIVE POINTS DENTISTRY
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Dates
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Enumeration Date | 01/09/2007
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Last Update Date | 11/04/2008
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Provider Practice Location Address
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Address Line | 19712 W 130TH STREET
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City | STRONGSVILLE
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State | OH
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Zip | 44136
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Country | US
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Telephone | 440-878-4444
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Fax | 440-238-0939
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Provider Business Mailing Address
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Address Line | 19712 W 130TH STREET
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City | STRONGSVILLE
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State | OH
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Zip | 44136
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Country | US
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Telephone | 440-878-4444
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Fax | 440-238-0939
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS D THOMAS
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Credential | DDS
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Telephone | 440-878-4444
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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 | 19815
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License Number State | OH
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