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General NPI Number Information
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NPI Number | 1629070818
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Entity Type | Individual
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Provider Name | CURTIS WILLIAM POOLE D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2005
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Last Update Date | 09/30/2011
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Provider Practice Location Address
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Address Line | 1184 S MAIN ST
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City | MILTON
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State | WV
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Zip | 25541-1222
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Country | US
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Telephone | 304-743-1724
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Fax |
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Provider Business Mailing Address
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Address Line | 1184 S MAIN ST
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City | MILTON
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State | WV
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Zip | 25541-1222
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Country | US
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Telephone | 304-743-1724
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Fax | 304-743-1725
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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 | 3513
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License Number State | WV
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