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General NPI Number Information
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NPI Number | 1386233849
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Entity Type | Organization
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Legal Business Name | MUNSTER DENTAL CARE, PC
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 310 RIDGE RD
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City | MUNSTER
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State | IN
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Zip | 46321-1528
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Country | US
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Telephone | 219-836-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 310 RIDGE RD
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City | MUNSTER
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State | IN
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Zip | 46321-1528
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Country | US
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Telephone | 219-836-8200
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | ALEXANDER ALEMIS
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Credential | DDS
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Telephone | 773-978-7801
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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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