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NPI 1487888228

NPI 1487888228 : AARON EDWARD MCLEMORE DMD : CLARKSTON, MI

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General NPI Number Information
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    NPI Number           |    1487888228
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    Entity Type          |    Individual 
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    Provider Name        |    AARON EDWARD MCLEMORE DMD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/07/2009
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    Last Update Date     |    11/07/2024
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Provider Practice Location Address
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    Address Line         |    6300 SASHABAW RD STE A 
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    City                 |    CLARKSTON
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    State                |    MI
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    Zip                  |    48346-2269
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    Country              |    US
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    Telephone            |    248-625-9444
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    6300 SASHABAW RD STE A 
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    City                 |    CLARKSTON
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    State                |    MI
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    Zip                  |    48346-2269
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    Country              |    US
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    Telephone            |    248-625-9444
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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        |    1223D0001X
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    Taxonomy Name        |    Public Health Dentistry
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    License Number       |    8773
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    12011379A
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    License Number State |    IN
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Taxonomy #3
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    8773
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    License Number State |    KY
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Taxonomy #4
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    Taxonomy Code        |    1223G0001X
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    Taxonomy Name        |    General Practice Dentistry
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    License Number       |    2901021397
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    License Number State |    MI
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