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General NPI Number Information
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NPI Number | 1770740169
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Entity Type | Organization
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Legal Business Name | LINDA M. HIPPLER, DDS. INC.
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Dates
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Enumeration Date | 05/22/2008
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Last Update Date | 05/22/2008
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Provider Practice Location Address
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Address Line | 17750 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3451
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Country | US
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Telephone | 216-521-3727
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Fax | 216-521-1117
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Provider Business Mailing Address
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Address Line | 17750 DETROIT AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-3451
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Country | US
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Telephone | 216-521-3727
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Fax |
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. LINDA M. HIPPLER
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Credential | DDS
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Telephone | 216-521-3727
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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 | 20105
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License Number State | OH
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