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General NPI Number Information
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NPI Number | 1467528125
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Entity Type | Individual
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Provider Name | MICHELLE ANNETTE SANOR DDS
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Gender | Female
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 313 NW 61ST ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7400
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Country | US
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Telephone | 405-418-4999
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Fax | 405-286-9725
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Provider Business Mailing Address
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Address Line | 208 NW 36TH ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-8619
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Country | US
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Telephone | 405-630-8154
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 5782
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License Number State | OK
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