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General NPI Number Information
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NPI Number | 1609286186
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Entity Type | Organization
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Legal Business Name | BEAUTIFUL YOU FAMILY DENTAL
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Dates
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Enumeration Date | 05/06/2014
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Last Update Date | 05/06/2014
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Provider Practice Location Address
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Address Line | 10485 N MICHIGAN RD STE 150
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City | CARMEL
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State | IN
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Zip | 46032-7942
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Country | US
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Telephone | 317-875-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 10485 N MICHIGAN RD STE 150
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City | CARMEL
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State | IN
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Zip | 46032-7942
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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 | OWNER/DENTIST
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Name | DR. ERIN COLEMAN
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Credential | D.D.S.
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Telephone | 765-914-9420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12011288A
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License Number State | IN
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