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General NPI Number Information
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NPI Number | 1710591045
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Entity Type | Organization
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Legal Business Name | GEORGE L FRIEDERICHS DDS
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Dates
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Enumeration Date | 09/03/2020
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 315 ADAMS ST
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City | SAINT CLAIR
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State | MI
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Zip | 48079-4861
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Country | US
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Telephone | 810-329-0924
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Fax | 810-329-0943
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Provider Business Mailing Address
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Address Line | 315 ADAMS ST
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City | SAINT CLAIR
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State | MI
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Zip | 48079-4861
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Country | US
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Telephone | 810-329-0924
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Fax | 810-329-0943
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Authorized Official
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Title or Position | GENERAL DENTIST
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Name | DR. MICHELLE M BIEWER-SMETKA
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Credential | DMD
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Telephone | 810-329-0924
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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 |
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License Number State |
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