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NPI 1699151548

NPI 1699151548 : JIM COX DDS, PC : CEDAR RAPIDS, IA

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General NPI Number Information
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    NPI Number           |    1699151548
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    Entity Type          |    Organization 
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    Legal Business Name  |    JIM COX DDS, PC 
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Dates
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    Enumeration Date     |    08/03/2015
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    Last Update Date     |    08/03/2015
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Provider Practice Location Address
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    Address Line         |    4135 WILSON AVE SW 
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    City                 |    CEDAR RAPIDS
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    State                |    IA
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    Zip                  |    52404-6342
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    Country              |    US
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    Telephone            |    319-396-0700
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    Fax                  |    319-396-4410
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Provider Business Mailing Address
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    Address Line         |    4135 WILSON AVE SW 
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    City                 |    CEDAR RAPIDS
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    State                |    IA
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    Zip                  |    52404-6342
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    Country              |    US
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    Telephone            |    319-396-0700
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    Fax                  |    319-396-4410
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Authorized Official
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    Title or Position    |    DENTIST
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    Name                 |    DR. JAMES F COX 
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    Credential           |    DDS
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    Telephone            |    319-396-0700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QD0000X
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    Taxonomy Name        |    Dental Clinic/Center
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    License Number       |    
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    License Number State |    
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