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General NPI Number Information
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NPI Number | 1861484867
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Entity Type | Individual
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Provider Name | NATHAN DAVIS GUILFORD DDS
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 7640 NW EXPRESSWAY STE 207
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City | OKLAHOMA CITY
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State | OK
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Zip | 73132-1622
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Country | US
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Telephone | 405-789-6935
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Fax | 405-789-6987
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Provider Business Mailing Address
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Address Line | 4534 NW 50TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73122-5331
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Country | US
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Telephone | 405-789-6935
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Fax | 405-789-6987
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5547
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License Number State | OK
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