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General NPI Number Information
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NPI Number | 1518721059
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Entity Type | Organization
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Legal Business Name | DENTURES PLUS OF LONDON LLC
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Dates
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Enumeration Date | 02/06/2024
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 128 LONDON SHOPPING CTR
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City | LONDON
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State | KY
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Zip | 40741-3015
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Country | US
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Telephone | 606-878-0708
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Fax | 606-878-0090
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Provider Business Mailing Address
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Address Line | PO BOX 519
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City | LONDON
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State | KY
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Zip | 40743-0519
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Country | US
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Telephone | 606-878-0708
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Fax | 606-878-0090
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Authorized Official
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Title or Position | DENTIST
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Name | DR. PAULA GILL
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Credential | DMD
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Telephone | 606-878-0708
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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 |
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License Number State |
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