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General NPI Number Information
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NPI Number | 1922143874
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Entity Type | Organization
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Legal Business Name | THOMAS E PAYTON DMD PC
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Dates
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Enumeration Date | 02/20/2007
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Last Update Date | 10/26/2007
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Provider Practice Location Address
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Address Line | 154 PENDLETON ST NW
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City | AIKEN
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State | SC
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Zip | 29801-3860
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Country | US
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Telephone | 803-649-5558
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Fax | 803-641-0692
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Provider Business Mailing Address
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Address Line | 154 PENDLETON ST NW P.O. BOX 1647
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City | AIKEN
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State | SC
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Zip | 29801-3860
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Country | US
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Telephone | 803-649-5558
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Fax | 803-641-0692
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS E PAYTON
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Credential | D.M.D.
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Telephone | 803-649-5558
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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 | 2377
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License Number State | SC
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