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General NPI Number Information
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NPI Number | 1467675421
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Entity Type | Organization
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Legal Business Name | A 1 DENTAL ASSOCIATES, PC
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 20302 EUREKA RD SUITE B
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City | TAYLOR
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State | MI
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Zip | 48180-5310
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Country | US
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Telephone | 734-283-4648
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Fax | 734-283-5863
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Provider Business Mailing Address
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Address Line | 20302 EUREKA RD SUITE B
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City | TAYLOR
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State | MI
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Zip | 48180-5310
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Country | US
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Telephone | 734-283-4648
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Fax | 734-283-5863
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. TONIA CALLAWAY
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Credential |
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Telephone | 734-283-4648
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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 |
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License Number State |
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