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NPI 1710133624

NPI 1710133624 : JAMES ARTHUR GINZLER DDS, MS : LIVONIA, MI

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General NPI Number Information
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    NPI Number           |    1710133624
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES ARTHUR GINZLER DDS, MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/12/2008
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    Last Update Date     |    08/12/2008
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Provider Practice Location Address
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    Address Line         |    33627 SEVEN MILE ROAD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152
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    Country              |    US
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    Telephone            |    248-471-1555
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    Fax                  |    248-471-4146
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Provider Business Mailing Address
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    Address Line         |    33627 SEVEN MILE ROAD 
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    City                 |    LIVONIA
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    State                |    MI
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    Zip                  |    48152
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    Country              |    US
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    Telephone            |    248-471-1555
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    Fax                  |    248-471-4146
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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        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    2901010321
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    License Number State |    MI
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