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General NPI Number Information
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NPI Number | 1497922777
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Entity Type | Individual
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Provider Name | RICHARD MICHAUD DMD
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Gender | Male
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Dates
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Enumeration Date | 05/14/2008
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 6323 CORPORATE CT
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City | FORT MYERS
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State | FL
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Zip | 33919-3518
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Country | US
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Telephone | 239-482-5311
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Fax |
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Provider Business Mailing Address
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Address Line | 6323 CORPORATE CT SUITE A
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City | FORT MYERS
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State | FL
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Zip | 33919-3518
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Country | US
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Telephone |
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN17436
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License Number State | FL
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