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General NPI Number Information
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NPI Number | 1831233246
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Entity Type | Organization
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Legal Business Name | STEVEN F. THAXTON, DDS, PA
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Dates
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Enumeration Date | 02/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 312 W MAIN ST
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City | LEBANON
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State | TN
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Zip | 37087-3546
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Country | US
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Telephone | 615-444-3185
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Fax |
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Provider Business Mailing Address
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Address Line | 312 W MAIN ST
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City | LEBANON
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State | TN
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Zip | 37087-3546
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Country | US
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Telephone | 615-444-3185
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN FRANKLIN THAXTON
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Credential | DDS
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Telephone | 615-444-3185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DS0000002939
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License Number State | TN
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