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General NPI Number Information
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NPI Number | 1710709944
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Entity Type | Organization
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Legal Business Name | RECHTIN JACOBS ORTHODONTICS LLC
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Dates
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Enumeration Date | 10/29/2024
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 25 TOWN CENTER BLVD., STE 102
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017
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Country | US
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Telephone | 859-446-7411
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Fax | 859-446-7418
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Provider Business Mailing Address
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Address Line | 25 TOWN CENTER BLVD., STE 102
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City | CRESTVIEW HILLS
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State | KY
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Zip | 41017
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Country | US
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Telephone | 859-446-7411
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Fax | 859-446-7418
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Authorized Official
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Title or Position | OWNER
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Name | PAIGE RECHTIN
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Credential | DMD
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Telephone | 859-446-7411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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