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General NPI Number Information
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NPI Number | 1295015378
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Entity Type | Organization
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Legal Business Name | JOHN D. PAPADOPOULOS DDS PLLC
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 08/22/2011
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Provider Practice Location Address
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Address Line | 1255 S OLD US HIGHWAY 23
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City | BRIGHTON
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State | MI
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Zip | 48114-9608
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Country | US
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Telephone | 810-227-3577
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Fax | 810-227-1207
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Provider Business Mailing Address
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Address Line | 1255 S OLD US HIGHWAY 23
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City | BRIGHTON
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State | MI
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Zip | 48114-9608
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Country | US
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Telephone | 810-227-3577
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Fax | 810-227-1207
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. TINA M. HILL
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Credential |
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Telephone | 810-227-3577
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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 |
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License Number State |
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