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General NPI Number Information
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NPI Number | 1699274308
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Entity Type | Organization
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Legal Business Name | HEATHER J. CADORETTE DDS PLLC
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Dates
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Enumeration Date | 02/08/2018
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 190 MARCELL DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-1300
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Country | US
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Telephone | 616-884-5884
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Fax | 616-884-5888
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Provider Business Mailing Address
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Address Line | 190 MARCELL DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-1300
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Country | US
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Telephone | 616-884-5884
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Fax | 616-884-5888
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Authorized Official
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Title or Position | BUSINESS ADMINISTRATOR
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Name | WENDY HUDSON
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Credential |
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Telephone | 616-884-5884
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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 | 17750
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License Number State | MI
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