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General NPI Number Information
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NPI Number | 1861403602
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Entity Type | Organization
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Legal Business Name | JAMES H MIDKIFF DDS PC
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Dates
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Enumeration Date | 08/10/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 4051 POSTAL DRIVE SW
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City | ROANOKE
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State | VA
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Zip | 24018-6439
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Country | US
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Telephone | 540-774-0061
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Fax | 540-989-3121
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Provider Business Mailing Address
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Address Line | 4051 POSTAL DRIVE SW
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City | ROANOKE
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State | VA
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Zip | 24018-6439
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Country | US
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Telephone | 540-774-0061
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Fax | 540-989-3121
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Authorized Official
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Title or Position | DENTIST OWNER PRESIDENT
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Name | DR. JAMES H MIDKIFF
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Credential | DDS
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Telephone | 540-774-0061
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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 | 04203VA
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License Number State | VA
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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 | 05136VA
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License Number State | VA
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