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General NPI Number Information
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NPI Number | 1891203360
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Entity Type | Organization
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Legal Business Name | COPES AND LENIHAN DENTAL CARE, PSC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 01/17/2018
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Provider Practice Location Address
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Address Line | 211 W SHELBY ST
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City | FALMOUTH
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State | KY
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Zip | 41040-1158
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Country | US
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Telephone | 859-750-3498
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Fax |
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Provider Business Mailing Address
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Address Line | 800 VIOLET RD
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City | CRITTENDEN
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State | KY
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Zip | 41030-8948
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. JOHN LENIHAN II
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Credential | DMD
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Telephone | 859-750-3498
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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 | 7477
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License Number State | KY
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