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General NPI Number Information
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NPI Number | 1386818847
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Entity Type | Organization
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Legal Business Name | DEBRA J HIBBELN AND MARK A KOWAL D.D.S. PLC
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Dates
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Enumeration Date | 04/16/2008
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Last Update Date | 04/16/2008
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Provider Practice Location Address
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Address Line | 441 S LIVERNOIS RD SUITE 275
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2584
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Country | US
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Telephone | 248-608-1300
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Fax |
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Provider Business Mailing Address
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Address Line | 441 S LIVERNOIS RD SUITE 275
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-2584
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ DENTIST
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Name | DR. DEBRA J HIBBELN
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Credential | D.D.S.
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Telephone | 248-608-1300
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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 | 16451
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 16449
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License Number State | MI
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