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General NPI Number Information
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NPI Number | 1841407954
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Entity Type | Individual
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Provider Name | JANET JILL MCDONALD DDS
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Gender | Female
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 4113 UNION RD
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City | SAINT LOUIS
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State | MO
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Zip | 63129-1064
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Country | US
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Telephone | 203-530-3136
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Fax |
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Provider Business Mailing Address
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Address Line | 60 FAIRGROUNDS RD # A
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City | PARIS
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State | TN
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Zip | 38242-5648
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Country | US
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Telephone | 731-642-2314
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Fax | 731-642-2317
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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 | 2023001624
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License Number State | MO
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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 | 7051
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License Number State | TN
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