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General NPI Number Information
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NPI Number | 1780857078
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Entity Type | Individual
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Provider Name | JOSEPH ALAN NORMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2008
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 103 N BRENTWOOD STE 400
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City | LUFKIN
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State | TX
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Zip | 75904-7147
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Country | US
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Telephone | 936-639-4867
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Fax |
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Provider Business Mailing Address
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Address Line | 103 N BRENTWOOD STE 400
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City | LUFKIN
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State | TX
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Zip | 75904-7147
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Country | US
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Telephone | 936-639-4867
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Fax |
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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 | 8542
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS0000010189
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 26215
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 335
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License Number State | OK
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Taxonomy #5
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 26215
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License Number State | TX
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