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General NPI Number Information
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NPI Number | 1457562951
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Entity Type | Organization
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Legal Business Name | RONALD J. SAXEN, DDS, INC.
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 2400 WALES AVE NW SUITE E
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City | MASSILLON
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State | OH
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Zip | 44646-0804
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Country | US
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Telephone | 330-832-7434
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Fax | 330-832-2828
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Provider Business Mailing Address
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Address Line | 2400 WALES AVENUE, NW SUITE E
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City | MASSILLON
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State | OH
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Zip | 44646
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Country | US
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Telephone | 330-832-7434
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Fax | 330-832-2828
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RONALD J SAXEN
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Credential | D.D.S.
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Telephone | 330-832-7434
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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 | 14859
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License Number State | OH
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