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General NPI Number Information
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NPI Number | 1629141973
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Entity Type | Organization
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Legal Business Name | JAMES H NOTTINGHAM JR DMD
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 142 W YORK ST SUITE 705
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City | NORFOLK
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State | VA
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Zip | 23510-2015
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Country | US
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Telephone | 757-623-9545
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Fax | 757-623-4561
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Provider Business Mailing Address
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Address Line | 142 W YORK ST SUITE 705
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City | NORFOLK
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State | VA
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Zip | 23510-2015
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Country | US
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Telephone | 757-623-9545
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Fax | 757-623-4561
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Authorized Official
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Title or Position | OWNER DR
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Name | JAMES NOTTINGHAM
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Credential |
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Telephone | 757-623-9545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401006496
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License Number State | VA
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