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General NPI Number Information
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NPI Number | 1437355484
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Entity Type | Organization
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Legal Business Name | CHARLES COX DDS, INC
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 522 13TH ST STE B
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City | PASO ROBLES
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State | CA
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Zip | 93446-7238
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Country | US
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Telephone | 805-237-7773
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Fax | 805-238-1863
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Provider Business Mailing Address
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Address Line | 522 13TH ST STE B
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City | PASO ROBLES
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State | CA
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Zip | 93446-7238
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Country | US
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Telephone | 805-237-7773
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Fax | 805-238-1863
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Authorized Official
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Title or Position | OFFICER
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Name | DR. CHARLES HARMON COX
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Credential | DDS
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Telephone | 805-237-7773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 26617
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License Number State | CA
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