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General NPI Number Information
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NPI Number | 1619178886
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Entity Type | Individual
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Provider Name | CYNTHIA E. PAQUETTE D.D.S., P.C.
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Gender | Female
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 20609 E 11 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-1401
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Country | US
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Telephone | 586-774-8090
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Fax | 586-447-8900
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Provider Business Mailing Address
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Address Line | 20609 E 11 MILE RD
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48081-1401
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Country | US
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Telephone | 586-774-8090
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Fax | 586-447-8900
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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 | MI 15801
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License Number State | MI
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