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General NPI Number Information
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NPI Number | 1861500423
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Entity Type | Organization
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Legal Business Name | SMILE CENTER P.C.
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/02/2008
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Provider Practice Location Address
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Address Line | 7120 S US HIGHWAY 231
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City | HUNTINGBURG
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State | IN
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Zip | 47542-9319
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Country | US
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Telephone | 812-683-2431
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Fax | 812-683-4603
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Provider Business Mailing Address
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Address Line | PO BOX 143
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City | HUNTINGBURG
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State | IN
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Zip | 47542-0143
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Country | US
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Telephone | 812-683-2431
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Fax | 812-683-4603
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL G WARREN
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Credential |
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Telephone | 812-683-2431
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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 |
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License Number State |
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