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General NPI Number Information
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NPI Number | 1841682473
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Entity Type | Organization
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Legal Business Name | DAVID T. MONSON DMD PSC
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Dates
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Enumeration Date | 02/18/2015
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 3620 WALDEN DR SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-2064
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Country | US
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Telephone | 859-797-4213
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 WALDEN DR SUITE 200
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City | LEXINGTON
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State | KY
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Zip | 40517-2064
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Country | US
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Telephone | 859-797-4213
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAVID THOMAS MONSON
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Credential | D.M.D
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Telephone | 859-797-4213
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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 | 8604
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License Number State | KY
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