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General NPI Number Information
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NPI Number | 1669640033
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Entity Type | Organization
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Legal Business Name | DAVID L. SIPES, DDS, INC., PC
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Dates
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Enumeration Date | 02/19/2008
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 26 E MAIN ST
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City | LEXINGTON
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State | OH
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Zip | 44904-1223
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Country | US
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Telephone | 419-884-3411
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Fax | 419-884-0656
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Provider Business Mailing Address
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Address Line | 26 E MAIN ST
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City | LEXINGTON
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State | OH
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Zip | 44904-1223
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Country | US
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Telephone | 419-884-3411
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Fax | 419-884-0656
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID L SIPES
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Credential | D.D.S
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Telephone | 419-884-3411
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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 | 30015212
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License Number State | OH
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