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General NPI Number Information
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NPI Number | 1144492067
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Entity Type | Individual
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Provider Name | WAYNE ERIC PICKETT DDS
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Gender | Male
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Dates
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Enumeration Date | 04/01/2008
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Last Update Date | 04/01/2008
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Provider Practice Location Address
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Address Line | 5574 COOLEY LAKE RD
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City | WATERFORD
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State | MI
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Zip | 48327-3015
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Country | US
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Telephone | 248-682-2300
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Fax | 248-682-9313
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Provider Business Mailing Address
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Address Line | 5574 COOLEY LAKE RD
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City | WATERFORD
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State | MI
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Zip | 48327-3015
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Country | US
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Telephone | 248-682-2300
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Fax | 248-682-9313
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901016046
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License Number State | MI
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