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General NPI Number Information
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NPI Number | 1285914176
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Entity Type | Individual
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Provider Name | ERIC D HULL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 08/23/2011
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 769 YORK CREEK DR NW
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City | COMSTOCK PARK
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State | MI
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Zip | 49321-8712
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Country | US
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Telephone | 616-784-2377
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Fax | 616-784-0707
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Provider Business Mailing Address
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Address Line | 1905 STRATFORD LN
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City | WALKER
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State | MI
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Zip | 49534-2181
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Country | US
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Telephone | 989-430-8088
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901020583
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License Number State | MI
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