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General NPI Number Information
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NPI Number | 1255799508
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Entity Type | Organization
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Legal Business Name | MICHAEL M. THURMAN, DDS, MSD, INC.
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Dates
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Enumeration Date | 02/02/2016
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Last Update Date | 02/02/2016
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Provider Practice Location Address
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Address Line | 9550 BRIMHALL RD STE B
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2231
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Country | US
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Telephone | 661-395-0698
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Fax | 661-395-0698
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Provider Business Mailing Address
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Address Line | 9550 BRIMHALL RD STE B
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2231
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Country | US
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Telephone | 661-395-0698
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Fax | 661-395-0698
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL MURRY THURMAN
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Credential | DDS, MSD
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Telephone | 661-395-0698
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 59041
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License Number State | CA
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