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General NPI Number Information
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NPI Number | 1275568891
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Entity Type | Individual
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Provider Name | MICHEL VENOT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 10701 EAST BLVD VETERAN ADMINISTRATION DENTAL SERVICE
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City | CLEVELAND
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State | OH
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Zip | 44106-1702
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Country | US
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Telephone | 440-526-3030
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Fax |
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Provider Business Mailing Address
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Address Line | VAMC STROKE, DENTAL SERVICE 10701 EAST BLVD
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City | CLEVELAND
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State | OH
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Zip | 44106
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Country | US
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Telephone | 440-526-3030
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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 | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 18063
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License Number State | OH
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