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General NPI Number Information
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NPI Number | 1437838844
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Entity Type | Organization
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Legal Business Name | COX FAMILY DENTAL
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 1120 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1514
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Country | US
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Telephone | 270-422-4921
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Fax |
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Provider Business Mailing Address
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Address Line | 1120 HIGH ST
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City | BRANDENBURG
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State | KY
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Zip | 40108-1514
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Country | US
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Telephone | 270-422-4921
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | RICKY COX
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Credential | DMD
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Telephone | 270-422-4921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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