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General NPI Number Information
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NPI Number | 1861549909
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Entity Type | Individual
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Provider Name | RICHARD H. DAY D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1700 BOGARD RD BLDG B SUITE 202
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City | WASILLA
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State | AK
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Zip | 99654-6563
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Country | US
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Telephone | 907-357-3414
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Fax |
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Provider Business Mailing Address
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Address Line | 2045 E STALLION CIR
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City | WASILLA
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State | AK
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Zip | 99654-3564
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Country | US
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Telephone | 907-841-1844
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Fax |
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 1062
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License Number State | AK
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