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General NPI Number Information
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NPI Number | 1336745975
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Entity Type | Organization
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Legal Business Name | JAMIESON ORTHODONTICS
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Dates
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Enumeration Date | 12/09/2020
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 1029 LINCOLN AVE STE 1
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City | MARQUETTE
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State | MI
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Zip | 49855-2680
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Country | US
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Telephone | 906-228-8720
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Fax | 906-228-2064
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Provider Business Mailing Address
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Address Line | 1029 LINCOLN AVE STE 1
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City | MARQUETTE
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State | MI
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Zip | 49855-2680
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Country | US
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Telephone | 906-228-8720
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Fax | 906-228-2064
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY JAMIESON
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Credential | DO
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Telephone | 906-228-8720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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