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General NPI Number Information
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NPI Number | 1770633794
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Entity Type | Individual
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Provider Name | NORMAN ERNEST FACTER DDS
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 5178 CROFTON AVE
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City | SOLON
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State | OH
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Zip | 44139-1288
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Country | US
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Telephone | 440-349-2848
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Fax | 440-349-0848
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Provider Business Mailing Address
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Address Line | PO BOX 316
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City | WILLIAMSVILLE
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State | NY
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Zip | 14231
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Country | US
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Telephone | 716-204-5838
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Fax | 716-632-2963
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 16935
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License Number State | OH
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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 | 30.016935
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License Number State | OH
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