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General NPI Number Information
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NPI Number | 1396336855
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Entity Type | Organization
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Legal Business Name | INFINITY DENTAL HIGHPOINT PLLC
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Dates
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Enumeration Date | 01/28/2021
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Last Update Date | 01/28/2021
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Provider Practice Location Address
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Address Line | 285 W WESTERN AVE STE 102
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City | MUSKEGON
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State | MI
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Zip | 49440-1119
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Country | US
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Telephone | 231-930-3151
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Fax | 231-244-9444
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Provider Business Mailing Address
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Address Line | 285 W WESTERN AVE STE 102
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City | MUSKEGON
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State | MI
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Zip | 49440-1119
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Country | US
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Telephone | 231-930-3151
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Fax | 231-244-9444
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Authorized Official
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Title or Position | TEAM LEAD
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Name | STACIA SNYDER
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Credential |
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Telephone | 231-930-3151
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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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