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General NPI Number Information
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NPI Number | 1295100451
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Entity Type | Organization
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Legal Business Name | MICHAEL S GARBER DMD LLP
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 100 PARK AVE
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City | ARLINGTON
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State | MA
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Zip | 02476-5816
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Country | US
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Telephone | 781-648-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 100 PARK AVE
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City | ARLINGTON
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State | MA
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Zip | 02476-5816
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. MICHAEL S GARBER
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Credential | DMD
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Telephone | 781-648-4050
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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 | N14931
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License Number State | MA
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