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General NPI Number Information
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NPI Number | 1811009988
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Entity Type | Individual
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Provider Name | DAVID PAUL COX DDS
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Gender | Male
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 477542 HWY 95 N
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City | PONDERAY
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State | ID
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Zip | 83852
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Country | US
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Telephone | 208-263-1905
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Fax | 208-255-1906
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Provider Business Mailing Address
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Address Line | 477542 US 95
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City | PONDERAY, ID
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State | ID
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Zip | 83852
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Country | US
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Telephone | 208-263-1905
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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 | D3127
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License Number State | ID
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