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General NPI Number Information
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NPI Number | 1942280912
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Entity Type | Organization
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Legal Business Name | DONN R LIDINGTON DDS INC
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 500 E HOWARD ST
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City | WILLARD
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State | OH
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Zip | 44890-1685
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Country | US
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Telephone | 419-935-8311
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Fax | 419-935-0812
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Provider Business Mailing Address
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Address Line | 500 E HOWARD ST
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City | WILLARD
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State | OH
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Zip | 44890-1685
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Country | US
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Telephone | 419-935-8311
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Fax | 419-935-0812
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Authorized Official
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Title or Position | PRES.
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Name | DR. DONN R LIDINGTON
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Credential | DDS
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Telephone | 419-935-8311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 14257
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License Number State | OH
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