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General NPI Number Information
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NPI Number | 1710173646
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Entity Type | Individual
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Provider Name | JOHN HOWARD ATCHESON D.M.D
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Gender | Male
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 09/25/2007
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Provider Practice Location Address
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Address Line | 15680 WELLS HWY
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City | SENECA
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State | SC
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Zip | 29678
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Country | US
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Telephone | 864-885-9585
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Fax |
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Provider Business Mailing Address
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Address Line | 15680 WELLS HIGHWAY
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City | SENECA
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State | SC
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Zip | 29678
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Country | US
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Telephone | 864-885-9585
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 4322
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License Number State | SC
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