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General NPI Number Information
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NPI Number | 1609131366
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Entity Type | Individual
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Provider Name | JOSHUA DARRELL ADCOX D.D.S
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Gender | Male
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Dates
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Enumeration Date | 07/09/2012
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Last Update Date | 09/17/2016
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Provider Practice Location Address
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Address Line | 2113 SW H K DODGEN LOOP
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City | TEMPLE
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State | TX
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Zip | 76502-1849
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Country | US
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Telephone | 480-388-1661
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Fax |
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Provider Business Mailing Address
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Address Line | 534 CREEKSIDE DR
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City | SALADO
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State | TX
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Zip | 76571-5620
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Country | US
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Telephone | 480-388-1661
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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 | 61360
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License Number State | CA
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