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General NPI Number Information
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NPI Number | 1205882156
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Entity Type | Individual
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Provider Name | THOMAS CURTIS VALE D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 860 N CENTER AVE
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City | GAYLORD
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State | MI
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Zip | 49735-1510
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Country | US
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Telephone | 989-732-2741
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Fax | 989-731-0321
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Provider Business Mailing Address
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Address Line | 860 N CENTER AVE
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City | GAYLORD
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State | MI
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Zip | 49735-1510
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Country | US
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Telephone | 989-732-2741
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Fax | 989-731-0321
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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 | D17355
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License Number State | MI
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