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General NPI Number Information
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NPI Number | 1982855946
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Entity Type | Individual
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Provider Name | DEAN LEROY STIMPSON DDS
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Gender | Male
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 205 N 7TH ST
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City | ZANESVILLE
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State | OH
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Zip | 43701-3791
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Country | US
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Telephone | 740-454-9741
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Fax |
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Provider Business Mailing Address
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Address Line | 716 ADAIR AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2836
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Country | US
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Telephone | 740-454-5239
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30-0131764
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License Number State | OH
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