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General NPI Number Information
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NPI Number | 1023851540
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Entity Type | Individual
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Provider Name | ROYCE ANTHONY GARMO DDS
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Gender | Male
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Dates
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Enumeration Date | 06/13/2024
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Last Update Date | 07/13/2025
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Provider Practice Location Address
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Address Line | 2500 N STATE ST
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City | JACKSON
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State | MS
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Zip | 39216-4500
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Country | US
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Telephone | 601-984-6090
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Fax |
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Provider Business Mailing Address
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Address Line | 6426 CHARLES DR
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4402
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Country | US
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Telephone | 248-408-6711
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901602042
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 111342
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License Number State | MS
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