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General NPI Number Information
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NPI Number | 1659435287
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Entity Type | Individual
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Provider Name | MICHAEL FRANCIS LAHEY DDS
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Gender | Male
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 301 N MAIN
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City | LAKE CITY
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State | MI
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Zip | 49651
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Country | US
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Telephone | 231-839-4673
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 589 301 N MAIN
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City | LAKE CITY
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State | MI
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Zip | 49651
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Country | US
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Telephone | 231-839-4673
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901009547
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License Number State | MI
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