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General NPI Number Information
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NPI Number | 1023294386
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Entity Type | Individual
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Provider Name | MICHAELA HINTGEN DDS
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Gender | Female
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 04/24/2008
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Provider Practice Location Address
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Address Line | 5300 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-2924
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Country | US
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Telephone | 313-928-6684
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Fax |
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Provider Business Mailing Address
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Address Line | 28242 TERRENCE ST
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City | LIVONIA
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State | MI
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Zip | 48154-3497
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Country | US
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Telephone |
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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 | 2901019188
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License Number State | MI
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