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General NPI Number Information
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NPI Number | 1982751095
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Entity Type | Organization
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Legal Business Name | TOTAL CARE DENTISTRY
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 903 W. 6TH STREET
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City | JUNCTION CITY
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State | KS
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Zip | 66441
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Country | US
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Telephone | 785-238-3500
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Fax | 785-238-8323
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Provider Business Mailing Address
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Address Line | P.O. BOX 1085
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City | JUNCTION CITY
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State | KS
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Zip | 66441
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Country | US
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Telephone | 785-238-3500
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Fax | 785-238-8323
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Authorized Official
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Title or Position | DENTIST
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Name | LARRY T MCGARY
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Credential | DDS
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Telephone | 785-238-3500
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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 | 6031
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License Number State | KS
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