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General NPI Number Information
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NPI Number | 1245293737
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Entity Type | Individual
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Provider Name | MICHAEL FRANK MAUGERI JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 04/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3720 HOLLAND RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-2859
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Country | US
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Telephone | 757-340-0446
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Fax | 757-340-8504
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Provider Business Mailing Address
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Address Line | 3720 HOLLAND RD SUITE 100
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-2859
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Country | US
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Telephone | 757-340-0446
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Fax | 757-340-8504
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State | VA
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