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General NPI Number Information
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NPI Number | 1508070962
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Entity Type | Organization
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Legal Business Name | ANN ARBOR ORTHODONTICS
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2084 S. MAIN STREET
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City | ANN ARBOR
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State | MI
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Zip | 48103
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Country | US
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Telephone | 734-975-8730
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Fax | 734-975-8733
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Provider Business Mailing Address
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Address Line | 2985 HICKORY LANE
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City | ANN ARBOR
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State | MI
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Zip | 48104
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Country | US
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Telephone | 734-369-2870
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Fax | 734-369-2871
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARIA LUCIA PINZON
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Credential | DDS, MS
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Telephone | 734-975-8730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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