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General NPI Number Information
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NPI Number | 1700816634
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Entity Type | Individual
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Provider Name | MICHELLE L MEISER DDS
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 08/18/2011
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Provider Practice Location Address
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Address Line | 3585 124TH AVE NW STE 400
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City | COON RAPIDS
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State | MN
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Zip | 55433-1006
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Country | US
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Telephone | 763-767-1524
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Fax | 763-767-1528
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Provider Business Mailing Address
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Address Line | 3585 124TH AVE NW STE 400
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City | COON RAPIDS
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State | MN
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Zip | 55433-1006
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Country | US
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Telephone | 763-767-1524
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Fax | 763-767-1528
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | D11584
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License Number State | MN
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