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General NPI Number Information
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NPI Number | 1568559839
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Entity Type | Organization
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Legal Business Name | THOMAS H. LAYNE, III, D.D.S. & DAWN M. MYERS, D.D.S.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 119 SOUTH COURT STREET
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City | RIPLEY
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State | WV
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Zip | 25271
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Country | US
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Telephone | 304-372-5725
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Fax | 304-372-5770
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Provider Business Mailing Address
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Address Line | P.O. BOX 746
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City | RIPLEY
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State | WV
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Zip | 25271
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Country | US
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Telephone | 304-372-5715
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Fax | 304-372-5770
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Authorized Official
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Title or Position | DENTIST
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Name | DR. THOMAS HARVEY LAYNE III
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Credential | D.D.S.
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Telephone | 304-372-5725
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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 | 2479
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License Number State | WV
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