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General NPI Number Information
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NPI Number | 1750158671
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Entity Type | Organization
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Legal Business Name | THOMAS M FUCHS DMD INC
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 305 MIDDLETOWN PARK PL STE A
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City | LOUISVILLE
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State | KY
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Zip | 40243-2514
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Country | US
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Telephone | 502-253-0008
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Fax | 502-253-0039
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Provider Business Mailing Address
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Address Line | 305 MIDDLETOWN PARK PL STE A
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City | LOUISVILLE
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State | KY
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Zip | 40243-2514
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Country | US
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Telephone | 502-253-0008
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Fax | 502-253-0039
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Authorized Official
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Title or Position | DOCTOR-OWNER
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Name | THOMAS M FUCHS
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Credential | DMD
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Telephone | 502-253-0008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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