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General NPI Number Information
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NPI Number | 1518194885
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Entity Type | Individual
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Provider Name | JOSHUA HOLCOMB D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/15/2009
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Last Update Date | 06/15/2009
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Provider Practice Location Address
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Address Line | 518 E MAIN ST
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City | ADAMSVILLE
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State | TN
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Zip | 38310-2450
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Country | US
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Telephone | 731-632-3371
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Fax | 731-632-5443
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Provider Business Mailing Address
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Address Line | PO BOX 321
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City | ADAMSVILLE
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State | TN
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Zip | 38310-0321
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Country | US
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Telephone | 731-632-3371
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Fax | 731-632-5443
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 8991
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License Number State | TN
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