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General NPI Number Information
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NPI Number | 1740890839
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Entity Type | Organization
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Legal Business Name | STEPHEN M. SGRAZZUTTI DDS PC
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Dates
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Enumeration Date | 08/04/2020
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Last Update Date | 08/04/2020
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Provider Practice Location Address
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Address Line | 1542 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48638-5564
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Country | US
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Telephone | 989-799-5660
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Fax | 989-799-5015
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Provider Business Mailing Address
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Address Line | 1542 N CENTER RD
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City | SAGINAW
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State | MI
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Zip | 48638-5564
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Country | US
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Telephone | 989-799-5660
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Fax | 989-799-5015
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELE SZYMBORSKI
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Credential |
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Telephone | 989-799-5660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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