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General NPI Number Information
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NPI Number | 1972578987
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Entity Type | Individual
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Provider Name | WILLIAM MARVIN PAYNE DDS
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1325 E 1ST ST
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City | MCPHERSON
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State | KS
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Zip | 67460-3601
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Country | US
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Telephone | 620-241-0266
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Fax | 620-241-6061
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Provider Business Mailing Address
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Address Line | PO BOX 964
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City | MCPHERSON
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State | KS
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Zip | 67460-0964
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Country | US
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Telephone | 620-241-0266
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Fax | 620-241-6061
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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 | 5563
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License Number State | KS
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