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General NPI Number Information
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NPI Number | 1528368842
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Entity Type | Organization
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Legal Business Name | AFFORDABLE DENTURES - IRIS J. WATKINS, DDS, INC.
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Dates
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Enumeration Date | 11/02/2010
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Last Update Date | 11/30/2012
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Provider Practice Location Address
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Address Line | 5609 TRABUE RD
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City | COLUMBUS
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State | OH
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Zip | 43228-9567
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Country | US
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Telephone | 614-851-3295
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Fax | 614-851-3297
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Provider Business Mailing Address
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Address Line | 5609 TRABUE RD
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City | COLUMBUS
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State | OH
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Zip | 43228-9567
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Country | US
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Telephone | 614-851-3295
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Fax | 614-851-3297
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Authorized Official
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Title or Position | OWNER
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Name | IRIS J WATKINS
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Credential | DDS
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Telephone | 614-851-3295
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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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