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General NPI Number Information
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NPI Number | 1184770828
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Entity Type | Organization
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Legal Business Name | STEVEN C REYNOLDS D.D.S, P.C.
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 600 N MAIN ST STE 100
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City | ROCHESTER
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State | MI
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Zip | 48307-1426
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Country | US
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Telephone | 248-652-1010
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Fax | 248-652-7005
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Provider Business Mailing Address
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Address Line | 600 N MAIN ST STE 100
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City | ROCHESTER
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State | MI
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Zip | 48307-1426
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Country | US
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Telephone | 248-652-1010
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Fax | 248-652-7005
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN C REYNOLDS
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Credential | DDS
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Telephone | 248-652-1010
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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 |
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License Number State |
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