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General NPI Number Information
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NPI Number | 1821160045
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Entity Type | Individual
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Provider Name | RICHARD ANDREW BOEHM D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 16374 HOTCHKISS VALLEY RD E
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City | LOUDON
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State | TN
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Zip | 37774-6064
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Country | US
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Telephone | 865-986-3234
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Fax | 865-988-6464
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Provider Business Mailing Address
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Address Line | 16374 HOTCHKISS VALLEY RD E
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City | LOUDON
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State | TN
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Zip | 37774-6064
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Country | US
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Telephone | 865-986-3234
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Fax | 865-988-6464
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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 | 9410
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License Number State | TN
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