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General NPI Number Information
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NPI Number | 1871982819
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Entity Type | Organization
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Legal Business Name | TERRENCE S POOLE DDS LLC
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 01/14/2015
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Provider Practice Location Address
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Address Line | 8250 KENWOOD CROSSING WAY SUITE 220
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City | CINCINNATI
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State | OH
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Zip | 45236-3668
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Country | US
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Telephone | 513-961-1991
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Fax | 513-961-1993
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Provider Business Mailing Address
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Address Line | PO BOX 12112
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City | CINCINNATI
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State | OH
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Zip | 45212-0112
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Country | US
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Telephone | 513-961-1991
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Fax | 513-961-1993
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Authorized Official
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Title or Position | DENTIST / OWENER
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Name | DR. TERRENCE S POOLE
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Credential | DDS
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Telephone | 513-961-1991
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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 |
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License Number State |
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