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General NPI Number Information
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NPI Number | 1760556922
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Entity Type | Individual
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Provider Name | JARED TRAVIS FRENCH DMD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 4411 E FLAMINGO AVE
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City | NAMPA
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State | ID
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Zip | 83687-3113
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Country | US
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Telephone | 208-466-3597
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Fax | 208-466-8147
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Provider Business Mailing Address
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Address Line | 4411 E FLAMINGO AVE
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City | NAMPA
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State | ID
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Zip | 83687-3113
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Country | US
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Telephone | 208-466-3597
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Fax | 208-466-8147
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D3341
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License Number State | ID
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