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General NPI Number Information
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NPI Number | 1689750945
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Entity Type | Individual
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Provider Name | JEWELL MEADE DMD
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Gender | Female
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Dates
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Enumeration Date | 10/30/2006
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 2115 ROCKY DR
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City | PARIS
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State | KY
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Zip | 40361-1370
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Country | US
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Telephone | 859-987-3290
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Fax | 859-987-6800
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Provider Business Mailing Address
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Address Line | 2228 PARIS BYPASS RD.
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City | PARIS
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State | KY
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Zip | 40361
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Country | US
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Telephone | 859-987-3290
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 6683
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6683
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License Number State | KY
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