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General NPI Number Information
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NPI Number | 1629122866
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Entity Type | Organization
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Legal Business Name | DR EMILY J MAYHEW AND DR EDWARD SMITH, INC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 07/15/2015
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Provider Practice Location Address
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Address Line | 1238 WEST WASHINGTON STREET
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City | HARPERS FERRY
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State | WV
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Zip | 25425
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Country | US
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Telephone | 304-535-2409
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Fax | 304-535-2408
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Provider Business Mailing Address
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Address Line | PO BOX 200
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City | HARPERS FERRY
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State | WV
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Zip | 25425-0200
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Country | US
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Telephone | 304-535-2409
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Fax | 304-535-2408
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. EMILY J MAYHEW
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Credential | DDS
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Telephone | 304-535-2409
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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 | 732972
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License Number State | WV
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