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General NPI Number Information
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NPI Number | 1578685483
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Entity Type | Individual
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Provider Name | CLAUDIA LOUISE MENTON DDS
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Gender | Female
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 14700 FARMINGTON ROAD SUITE #105
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City | LIVONIA
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State | MI
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Zip | 48154
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Country | US
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Telephone | 734-422-3666
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Fax | 734-422-1800
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Provider Business Mailing Address
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Address Line | 4431 RAVINEWOOD DRIVE
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382
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Country | US
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Telephone | 248-684-9750
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Fax | 734-422-1800
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 13487
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License Number State | MI
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