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NPI 1700866530

NPI 1700866530 : MICHAEL E. LEARMAN D.D.S., P.L.C. : BAY CITY, MI

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General NPI Number Information
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    NPI Number           |    1700866530
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    Entity Type          |    Individual 
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    Provider Name        |    MICHAEL E. LEARMAN D.D.S., P.L.C.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/18/2006
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    Last Update Date     |    10/15/2020
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Provider Practice Location Address
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    Address Line         |    4141 SHRESTHA DR 
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    City                 |    BAY CITY
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    State                |    MI
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    Zip                  |    48706-2171
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    Country              |    US
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    Telephone            |    989-667-5630
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    Fax                  |    989-667-5726
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Provider Business Mailing Address
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    Address Line         |    4141 SHRESTHA DR 
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    City                 |    BAY CITY
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    State                |    MI
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    Zip                  |    48706-2171
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    Country              |    US
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    Telephone            |    989-667-5630
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    Fax                  |    989-667-5726
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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       |    14212
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    License Number State |    MI
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