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NPI 1003894049

NPI 1003894049 : ALAN ROBERT TOKAR DDS : NEWBERRY, MI

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General NPI Number Information
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    NPI Number           |    1003894049
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    Entity Type          |    Individual 
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    Provider Name        |    ALAN ROBERT TOKAR DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/09/2006
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    Last Update Date     |    07/09/2007
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Provider Practice Location Address
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    Address Line         |    224 NEWBERRY AVE 
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    City                 |    NEWBERRY
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    State                |    MI
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    Zip                  |    49868-1153
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    Country              |    US
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    Telephone            |    906-293-3332
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    Fax                  |    906-293-1603
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Provider Business Mailing Address
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    Address Line         |    224 NEWBERRY AVE P.O. BOX 461
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    City                 |    NEWBERRY
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    State                |    MI
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    Zip                  |    49868-1153
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    Country              |    US
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    Telephone            |    906-293-3332
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    Fax                  |    906-293-1603
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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       |    2901010925
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    License Number State |    MI
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