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General NPI Number Information
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NPI Number | 1407237928
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Entity Type | Individual
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Provider Name | DANIEL STEVEN EISINGER DDS
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Gender | Male
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Dates
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Enumeration Date | 06/10/2015
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Last Update Date | 06/10/2015
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Provider Practice Location Address
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Address Line | 1459 N BELSAY RD
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City | BURTON
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State | MI
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Zip | 48509-1604
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Country | US
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Telephone | 810-743-2347
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Fax |
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Provider Business Mailing Address
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Address Line | 15300 SILVER PKWY APT 202
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City | FENTON
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State | MI
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Zip | 48430-3477
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Country | US
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Telephone | 810-569-1574
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901021548
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License Number State | MI
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