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General NPI Number Information
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NPI Number | 1326786237
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Entity Type | Organization
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Legal Business Name | D SCOTT EATON DDS
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Dates
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Enumeration Date | 05/23/2022
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 4144 CHARLEVOIX RD
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City | PETOSKEY
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State | MI
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Zip | 49770-9817
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Country | US
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Telephone | 231-347-5055
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Fax | 231-347-6141
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Provider Business Mailing Address
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Address Line | 4144 CHARLEVOIX RD
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City | PETOSKEY
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State | MI
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Zip | 49770-9817
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Country | US
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Telephone | 231-347-5055
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Fax | 231-347-6141
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Authorized Official
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Title or Position | OWNER
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Name | DR. DONALD SCOTT EATON
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Credential | DDS
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Telephone | 231-347-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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