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General NPI Number Information
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NPI Number | 1508192683
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Entity Type | Organization
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Legal Business Name | JAMES P MAURER DDS, INC
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Dates
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Enumeration Date | 10/26/2009
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Last Update Date | 10/26/2009
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Provider Practice Location Address
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Address Line | 3515 HUDSON DR SUITE 100
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City | STOW
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State | OH
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Zip | 44224-6967
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Country | US
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Telephone | 330-928-7674
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3189
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City | SYRACUSE
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State | NY
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Zip | 13220-3189
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Country | US
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Telephone | 315-454-6000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES MAURER
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Credential |
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Telephone | 330-928-7674
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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 | 30.020410
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License Number State | OH
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