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General NPI Number Information
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NPI Number | 1497134597
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Entity Type | Organization
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Legal Business Name | JAMES BOHN III DMD PLLC
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Dates
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Enumeration Date | 05/21/2015
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Last Update Date | 01/29/2016
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Provider Practice Location Address
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Address Line | 3100 NC 55 HWY STE 201
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City | CARY
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State | NC
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Zip | 27519-8427
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Country | US
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Telephone | 919-363-3133
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Fax | 919-363-3134
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Provider Business Mailing Address
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Address Line | 3100 NC 55 HWY STE 201
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City | CARY
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State | NC
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Zip | 27519-8427
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Country | US
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Telephone | 919-363-3133
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Fax | 919-363-3134
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. JAMES DAVID BOHN III
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Credential | DMD
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Telephone | 919-363-3133
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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 | 8872
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License Number State | NC
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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 |
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License Number State | NC
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