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General NPI Number Information
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NPI Number | 1437291077
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Entity Type | Individual
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Provider Name | HAROLD DEAN MCSPADDEN JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | ELM & CARLTON STREETS DEPT. OF DENTISTRY AND MAX. PROSTHETICS
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City | BUFFALO
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State | NY
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Zip | 14263-0001
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Country | US
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Telephone | 800-767-9355
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Fax |
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Provider Business Mailing Address
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Address Line | ELM AND CARLTON ST DEPT. OF DENTISTRY AND MAXILLOFACIAL PROSTHETICS
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City | BUFFALO
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State | NY
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Zip | 14263-0001
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Country | US
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Telephone | 800-767-9355
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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 | G10000898
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 041358-01
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License Number State | NY
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