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General NPI Number Information
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NPI Number | 1043526437
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Entity Type | Individual
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Provider Name | MICHELLE BOYD AUGELLO DDS
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 10/21/2015
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Provider Practice Location Address
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Address Line | 4498 MAIN ST STE 2
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City | AMHERST
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State | NY
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Zip | 14226-3826
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Country | US
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Telephone | 716-839-1546
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Fax |
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Provider Business Mailing Address
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Address Line | 4498 MAIN ST STE 2
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City | AMHERST
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State | NY
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Zip | 14226-3826
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Country | US
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Telephone | 716-439-1546
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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 | DS038738
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 055506
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License Number State | NY
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