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General NPI Number Information
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NPI Number | 1164151544
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Entity Type | Organization
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Legal Business Name | CRAIG DOWNER DDS PLC
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Dates
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Enumeration Date | 06/09/2022
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Last Update Date | 06/09/2022
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Provider Practice Location Address
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Address Line | 601 N MAIN ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-1535
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Country | US
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Telephone | 989-773-7232
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Fax |
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Provider Business Mailing Address
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Address Line | 601 N MAIN ST
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City | MOUNT PLEASANT
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State | MI
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Zip | 48858-1535
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Country | US
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Telephone | 989-773-7232
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Fax |
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Authorized Official
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Title or Position | FRONT OFFICE COORDINATOR
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Name | NICOLLE M BURNELL
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Credential |
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Telephone | 989-773-7232
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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 |
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License Number State |
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