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General NPI Number Information
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NPI Number | 1104538982
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Entity Type | Individual
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Provider Name | MICHAEL D CAIN I DDS
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Gender | Male
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Dates
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Enumeration Date | 12/23/2022
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 840 OAK GROVE RD STE A
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City | CONCORD
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State | CA
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Zip | 94518-3503
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Country | US
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Telephone | 925-680-1236
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Fax | 925-680-1499
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Provider Business Mailing Address
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Address Line | 840 OAK GROVE RD STE A
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City | CONCORD
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State | CA
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Zip | 94518-3503
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Country | US
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Telephone | 925-680-1236
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Fax | 925-680-1499
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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 | 33810
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License Number State | CA
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