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General NPI Number Information
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NPI Number | 1508912312
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Entity Type | Individual
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Provider Name | DAVID MICHAEL GILTNER D.D.S., M.S.
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Gender | Male
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Dates
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Enumeration Date | 01/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 300 COLLEGE AVE
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City | TERRE HAUTE
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State | IN
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Zip | 47802-1031
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Country | US
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Telephone | 812-232-6950
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Fax | 812-235-6514
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Provider Business Mailing Address
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Address Line | 175 DEMING LN
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City | TERRE HAUTE
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State | IN
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Zip | 47803-2080
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Country | US
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Telephone | 812-877-2134
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 12007151
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License Number State | IN
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