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General NPI Number Information
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NPI Number | 1770900417
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Entity Type | Organization
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Legal Business Name | MICHAEL D. SCHERER, DMD, MS, INC.
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 14570 MONO WAY SUITE #I
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City | SONORA
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State | CA
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Zip | 95370-8997
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Country | US
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Telephone | 209-536-1954
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Fax | 209-536-6554
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Provider Business Mailing Address
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Address Line | 14570 MONO WAY SUITE #I
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City | SONORA
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State | CA
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Zip | 95370-8997
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Country | US
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Telephone | 209-536-1954
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Fax | 209-536-6554
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Authorized Official
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Title or Position | PRESIDENT
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Name | MICHAEL D SCHERER
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Credential | DMD, MS
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Telephone | 209-536-1954
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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 | 58233
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License Number State | CA
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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 | 58233
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 58232
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 58233
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License Number State | CA
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