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General NPI Number Information
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NPI Number | 1760804926
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Entity Type | Organization
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Legal Business Name | MICHAEL E. BAHLINGER, D.D.S.
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Dates
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Enumeration Date | 01/07/2014
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 1870 EL CAMINO REAL SUITE 204
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City | BURLINGAME
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State | CA
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Zip | 94010-3128
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Country | US
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Telephone | 650-259-1111
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Fax | 650-259-1103
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Provider Business Mailing Address
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Address Line | 1870 EL CAMINO REAL SUITE 204
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City | BURLINGAME
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State | CA
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Zip | 94010-3128
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Country | US
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Telephone | 650-259-1111
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Fax | 650-259-1103
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHAEL EUGENE BAHLINGER
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Credential | D.D.S.
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Telephone | 650-259-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 36721
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License Number State | CA
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