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General NPI Number Information
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NPI Number | 1831465871
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Entity Type | Organization
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Legal Business Name | LOS EQUIPMENT CORPORATION
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 4305 FIVE OAKS DR
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City | LANSING
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State | MI
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Zip | 48911-4214
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Country | US
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Telephone | 517-699-2700
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Fax | 517-708-8527
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Provider Business Mailing Address
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Address Line | 4305 FIVE OAKS DR
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City | LANSING
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State | MI
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Zip | 48911-4214
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Country | US
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Telephone | 517-699-2700
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Fax | 517-708-8527
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM ANTHONY SCHIRO
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Credential | D.D.S.
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Telephone | 517-699-2700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | WS013096
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License Number State | MI
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