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General NPI Number Information
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NPI Number | 1427708726
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Entity Type | Organization
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Legal Business Name | HURON DENTAL RLW PLLC
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 110 ARBOR LN
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City | ALPENA
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State | MI
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Zip | 49707-1302
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Country | US
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Telephone | 989-354-4884
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Fax |
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Provider Business Mailing Address
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Address Line | 110 ARBOR LN
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City | ALPENA
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State | MI
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Zip | 49707-1302
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Country | US
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Telephone | 989-340-1145
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. NICOLE M ARSENAULT
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Credential | RDH, DDS
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Telephone | 989-340-1145
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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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