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NPI 1396967147

NPI 1396967147 : THOMAS F ARMSTRONG DDS : NILES, MI

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General NPI Number Information
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    NPI Number           |    1396967147
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    Entity Type          |    Individual 
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    Provider Name        |    THOMAS F ARMSTRONG DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/02/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    109 S LINCOLN AVE 
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    City                 |    NILES
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    State                |    MI
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    Zip                  |    49120-2917
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    Country              |    US
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    Telephone            |    269-684-3580
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4453 RIDGE RD 
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    City                 |    STEVENSVILLE
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    State                |    MI
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    Zip                  |    49127-9386
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    Country              |    US
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    Telephone            |    269-556-9849
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223E0200X
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    Taxonomy Name        |    Endodontics
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    License Number       |    16420
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    License Number State |    MI
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