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General NPI Number Information
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NPI Number | 1114620432
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Entity Type | Individual
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Provider Name | ALOYSIUS FOSTER REDDING DDS
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Gender | Male
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Dates
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Enumeration Date | 03/24/2023
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Last Update Date | 03/24/2023
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Provider Practice Location Address
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Address Line | 1525 E CHICAGO RD
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City | STURGIS
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State | MI
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Zip | 49091-1991
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Country | US
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Telephone | 269-651-7760
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Fax |
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Provider Business Mailing Address
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Address Line | 22625 RAYMOND CT
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48082-2736
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Country | US
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Telephone | 586-907-1025
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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 | 2901601592
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License Number State | MI
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