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General NPI Number Information
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NPI Number | 1447709241
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Entity Type | Organization
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Legal Business Name | MARIO A. TOMEI DDS PC
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 09/22/2016
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Provider Practice Location Address
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Address Line | 32300 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4308
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Country | US
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Telephone | 734-261-7555
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Fax | 734-261-9319
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Provider Business Mailing Address
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Address Line | 32300 SCHOOLCRAFT RD
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City | LIVONIA
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State | MI
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Zip | 48150-4308
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Country | US
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Telephone | 734-261-7555
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Fax | 734-261-9319
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | MARIO A TOMEI
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Credential | DDS PC
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Telephone | 734-261-7555
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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 | 2901016103
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License Number State | MI
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