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General NPI Number Information
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NPI Number | 1831551472
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Entity Type | Individual
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Provider Name | JOSHUA ALLEN DEUEL D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/23/2016
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 955 W EISENHOWER CIR STE G
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City | ANN ARBOR
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State | MI
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Zip | 48103-5868
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Country | US
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Telephone | 734-418-0800
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Fax | 734-418-0802
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Provider Business Mailing Address
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Address Line | 955 W EISENHOWER CIR STE G
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City | ANN ARBOR
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State | MI
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Zip | 48103-5868
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Country | US
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Telephone | 734-418-0800
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Fax | 734-418-0802
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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 | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 2901600419
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License Number State | MI
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