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General NPI Number Information
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NPI Number | 1043484207
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Entity Type | Individual
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Provider Name | APRIL DAWN NORTH RDA
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Gender | Female
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 427 NORTH MICHIGAN AVENUE
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City | SAGINAW
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State | MI
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Zip | 48602
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Country | US
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Telephone | 989-755-0991
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Fax |
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Provider Business Mailing Address
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Address Line | 584 E DOPP RD
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City | MIDLAND
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State | MI
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Zip | 48640-8217
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Country | US
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Telephone | 989-600-9678
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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 | 126800000X
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Taxonomy Name | Dental Assistant
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License Number | 2903002496
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License Number State | MI
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