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General NPI Number Information
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NPI Number | 1639817448
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Entity Type | Organization
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Legal Business Name | WARD FAMILY DENTAL, PC
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 1500 SCURRY ST
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City | BIG SPRING
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State | TX
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Zip | 79720-4441
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Country | US
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Telephone | 432-267-1677
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Fax | 432-267-7840
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Provider Business Mailing Address
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Address Line | 1500 SCURRY ST
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City | BIG SPRING
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State | TX
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Zip | 79720
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Country | US
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Telephone | 432-267-1677
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Fax | 432-267-7840
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID WARD
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Credential | DDS
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Telephone | 432-816-1189
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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 |
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License Number State |
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