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General NPI Number Information
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NPI Number | 1477129070
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Entity Type | Individual
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Provider Name | NICHOLAS ERIC ENGLISH DMD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 1706 WILLIAMSBURG DR
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-8013
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Country | US
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Telephone | 812-913-0693
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Fax |
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Provider Business Mailing Address
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Address Line | 1041 E KENTUCKY ST
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City | LOUISVILLE
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State | KY
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Zip | 40204-1935
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Country | US
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Telephone | 502-794-6853
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10578
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License Number State | KY
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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 | 12013626A
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License Number State | IN
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