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General NPI Number Information
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NPI Number | 1760498505
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Entity Type | Organization
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Legal Business Name | JEFFERY A. DAUGHENBAUGH, D.D.S., INC
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 01/18/2013
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Provider Practice Location Address
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Address Line | 780 E ROMIE LN SUITE E
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City | SALINAS
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State | CA
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Zip | 93901-4223
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Country | US
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Telephone | 831-757-3951
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Fax | 831-757-1432
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Provider Business Mailing Address
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Address Line | 780 E ROMIE LN SUITE E
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City | SALINAS
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State | CA
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Zip | 93901-4223
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Country | US
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Telephone | 831-757-3951
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Fax | 831-757-1432
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFERY ALAN DAUGHENBAUGH
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Credential | D.D.S.
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Telephone | 831-757-3951
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 24000
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License Number State | CA
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