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General NPI Number Information
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NPI Number | 1194517904
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Entity Type | Individual
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Provider Name | SARA MAJESTIC DMD
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Gender | Female
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 114 N MAIN
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City | PERRY
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State | MI
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Zip | 48872-5103
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Country | US
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Telephone | 517-625-4163
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Fax |
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Provider Business Mailing Address
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Address Line | 1287 GLASS LAKE CIR
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City | OXFORD
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State | MI
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Zip | 48371-3702
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901602640
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License Number State | MI
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