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General NPI Number Information
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NPI Number | 1750532511
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Entity Type | Organization
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Legal Business Name | DRS BOOKWALTER,FEE & WRIGHT, P.C.
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 9416 S MAIN ST SUITE 111
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City | PLYMOUTH
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State | MI
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Zip | 48170-4157
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Country | US
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Telephone | 734-455-2323
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Fax | 734-455-8033
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Provider Business Mailing Address
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Address Line | 9416 S MAIN ST SUITE 111
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City | PLYMOUTH
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State | MI
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Zip | 48170-4157
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Country | US
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Telephone | 734-455-7552
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Fax | 734-455-8033
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MICHELLE MARIE BLACKFORD
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Credential |
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Telephone | 734-455-2323
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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 |
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License Number State |
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