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General NPI Number Information
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NPI Number | 1205021540
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Entity Type | Individual
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Provider Name | MICHELLE L DANIELS DMD
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Gender | Female
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 06/12/2012
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Provider Practice Location Address
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Address Line | 38 STATE ST
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City | WARREN
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State | RI
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Zip | 02885-3128
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Country | US
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Telephone | 401-245-6131
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Fax | 401-245-5152
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Provider Business Mailing Address
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Address Line | 205 CHACE AVENUE
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City | PROVIDENCE
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State | RI
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Zip | 02906
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Country | US
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Telephone | 510-333-1393
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Fax | 401-245-5152
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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 | DEN03006
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License Number State | RI
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