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General NPI Number Information
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NPI Number | 1104958420
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Entity Type | Organization
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Legal Business Name | ANDREW J THANOS DDS PC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2012 10TH ST
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City | MENOMINEE
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State | MI
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Zip | 49858-2194
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Country | US
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Telephone | 906-863-9203
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Fax | 906-863-9205
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Provider Business Mailing Address
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Address Line | 2012 10TH ST
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City | MENOMINEE
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State | MI
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Zip | 49858-2194
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Country | US
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Telephone | 906-863-9203
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Fax | 906-863-9205
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANDREW JOHN THANOS
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Credential | DDS
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Telephone | 906-863-9203
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 10281
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License Number State | MI
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