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General NPI Number Information
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NPI Number | 1750455739
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Entity Type | Organization
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Legal Business Name | JAMES R STRONG DMD INC
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 153 MAIN STREET
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City | TAYLORSVILLE
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State | KY
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Zip | 40071
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Country | US
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Telephone | 502-477-8444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 216
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City | TAYLORSVILLE
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State | KY
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Zip | 40071
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Country | US
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Telephone | 502-477-8444
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JAMES R STRONG
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Credential | DMD
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Telephone | 502-477-8444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 6545
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License Number State | KY
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