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General NPI Number Information
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NPI Number | 1376323949
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Entity Type | Organization
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Legal Business Name | NATHAN B POEL DDS PLLC
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Dates
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Enumeration Date | 10/02/2023
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Last Update Date | 10/02/2023
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Provider Practice Location Address
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Address Line | 1180 OTTAWA BEACH RD STE E
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City | HOLLAND
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State | MI
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Zip | 49424-2597
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Country | US
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Telephone | 616-399-9530
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Fax |
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Provider Business Mailing Address
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Address Line | 2700 N 160TH AVE
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City | HOLLAND
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State | MI
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Zip | 49424-6148
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Country | US
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Telephone | 616-430-2430
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. NATHAN B POEL
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Credential | DDS
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Telephone | 616-430-2430
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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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