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General NPI Number Information
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NPI Number | 1881724821
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Entity Type | Individual
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Provider Name | JOSH J WAYMAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 5110 MARYLAND WAY SUITE 190
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City | BRENTWOOD
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State | TN
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Zip | 37027-7508
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Country | US
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Telephone | 615-373-2030
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Fax | 615-373-7059
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Provider Business Mailing Address
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Address Line | 111 W KINGSTON SPRINGS RD STE 101
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City | KINGSTON SPRINGS
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State | TN
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Zip | 37082-9121
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Country | US
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Telephone | 615-952-4210
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Fax | 615-952-4081
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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 | 621762264
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License Number State | TN
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