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General NPI Number Information
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NPI Number | 1982758736
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Entity Type | Individual
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Provider Name | JANICE ANN STRUCKHOFF DDS, MS
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1986 WALTON NICHOLSON PIKE
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City | INDEPENDENCE
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State | KY
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Zip | 41051
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Country | US
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Telephone | 859-356-6630
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Fax |
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Provider Business Mailing Address
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Address Line | 2100 SINTON AVE APT 9
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City | CINCINNATI
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State | OH
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Zip | 45206-2500
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Country | US
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Telephone | 513-861-0210
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Fax |
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 8403
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License Number State | KY
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