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General NPI Number Information
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NPI Number | 1730530106
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Entity Type | Individual
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Provider Name | ERIC REUM DDS
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Gender | Male
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Dates
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Enumeration Date | 06/28/2016
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 102 S WASHINGTON AVE
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City | LUDINGTON
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State | MI
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Zip | 49431-2283
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Country | US
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Telephone | 231-690-6820
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Fax |
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Provider Business Mailing Address
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Address Line | 1640 S FEDERAL HWY
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City | DELRAY BEACH
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State | FL
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Zip | 33483-5030
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Country | US
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Telephone | 561-267-5800
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN21848
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901022849
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License Number State | MI
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