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General NPI Number Information
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NPI Number | 1770517005
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Entity Type | Organization
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Legal Business Name | RODNEY L. POWERS, DDS, INC.
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 3 ROSEMAR CIRCLE, SUITE A BOX 4369
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City | PARKERSBURG
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State | WV
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Zip | 26104-4369
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Country | US
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Telephone | 304-428-2058
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ROSEMAR CIRCLE, SUITE A PO BOX 4369
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City | PARKERSBURG
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State | WV
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Zip | 26104-4369
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Country | US
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Telephone | 304-428-2058
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RODNEY LEE POWERS
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Credential | DDS
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Telephone | 304-428-2058
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 2952
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License Number State | WV
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