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General NPI Number Information
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NPI Number | 1548020233
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Entity Type | Individual
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Provider Name | ERIC JAMES PRESCOTT DMD
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Gender | Male
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 10701 EAST BLVD
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City | CLEVELAND
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State | OH
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Zip | 44106-1702
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Country | US
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Telephone | 216-791-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 DETROIT AVE APT 249
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City | CLEVELAND
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State | OH
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Zip | 44113-2769
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Country | US
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Telephone | 440-669-2521
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.027968
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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