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General NPI Number Information
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NPI Number | 1891875118
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Entity Type | Organization
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Legal Business Name | DAWKINS FAMILY DENTAL CLINIC PA
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 440 NORTH LAMAR
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-234-5725
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Fax | 662-234-4811
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Provider Business Mailing Address
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Address Line | 440 NORTH LAMAR
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City | OXFORD
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State | MS
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Zip | 38655
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Country | US
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Telephone | 662-234-5725
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Fax | 662-234-4811
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Authorized Official
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Title or Position | OWNER GENERAL DENTIST
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Name | DR. WARD EDWIN DAWKINS JR.
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Credential | DDS
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Telephone | 662-234-5725
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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 | 2668
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License Number State | MS
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