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General NPI Number Information
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NPI Number | 1699868901
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Entity Type | Organization
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Legal Business Name | NORMAN J POKLEY DMD PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 146 W SHERMAN ST
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City | CARO
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State | MI
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Zip | 48723-1532
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Country | US
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Telephone | 989-673-8414
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Fax | 989-673-0609
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Provider Business Mailing Address
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Address Line | 146 W SHERMAN ST
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City | CARO
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State | MI
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Zip | 48723-1532
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Country | US
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Telephone | 989-673-8414
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Fax | 989-673-0609
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NORMAN J POKLEY
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Credential | DMD
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Telephone | 989-673-8414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 10722
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License Number State | MI
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