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General NPI Number Information
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NPI Number | 1154567188
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Entity Type | Organization
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Legal Business Name | MICROSURGICAL ENDODONTICS INC
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Dates
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Enumeration Date | 12/22/2008
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Last Update Date | 12/22/2008
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Provider Practice Location Address
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Address Line | 825 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4157
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Country | US
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Telephone | 614-436-2277
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Fax |
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Provider Business Mailing Address
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Address Line | 825 HIGH ST
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City | WORTHINGTON
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State | OH
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Zip | 43085-4157
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Country | US
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Telephone | 614-436-2277
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT A UHLE
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Credential | DDS
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Telephone | 614-436-2277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 30019475
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License Number State | OH
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