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General NPI Number Information
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NPI Number | 1750022190
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Entity Type | Individual
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Provider Name | COURTNEY DAY DMD
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Gender | Female
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 21154 HIGHWAY 421
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City | HYDEN
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State | KY
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Zip | 41749-8553
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Country | US
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Telephone | 606-672-1208
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 226
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City | WOOTON
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State | KY
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Zip | 41776-0226
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Country | US
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Telephone | 606-538-5887
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 10774
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License Number State | KY
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