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General NPI Number Information
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NPI Number | 1811316086
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Entity Type | Organization
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Legal Business Name | JAY C. ADKINS, DDS
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 5301 50TH ST STE 100
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City | LUBBOCK
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State | TX
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Zip | 79414-5834
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Country | US
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Telephone | 806-793-3556
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 50TH ST STE 100
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City | LUBBOCK
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State | TX
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Zip | 79414-5834
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Country | US
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Telephone | 806-793-3556
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. JAY CARL ADKINS
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Credential | D.D.S.
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Telephone | 806-793-3556
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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 | 27872
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 13055
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License Number State | TX
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