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NPI 1306983945

NPI 1306983945 : JOHN A TOUPIN D.D.S. : NOVI, MI

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General NPI Number Information
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    NPI Number           |    1306983945
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN A TOUPIN D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/31/2007
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    Last Update Date     |    02/13/2013
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Provider Practice Location Address
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    Address Line         |    42430 W 12 MILE RD SUITE 201
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    City                 |    NOVI
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    State                |    MI
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    Zip                  |    48377-3028
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    Country              |    US
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    Telephone            |    248-465-6310
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    Fax                  |    248-465-6313
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Provider Business Mailing Address
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    Address Line         |    42430 W 12 MILE RD SUITE 201
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    City                 |    NOVI
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    State                |    MI
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    Zip                  |    48377-3028
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    Country              |    US
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    Telephone            |    248-465-6310
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    Fax                  |    248-465-6313
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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        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    2901013960
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    License Number State |    MI
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