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NPI 1871643809

NPI 1871643809 : JAMES VERNON DRAPER DDS : LAKEVIEW, MI

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General NPI Number Information
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    NPI Number           |    1871643809
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES VERNON DRAPER DDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/11/2007
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    924 S LINCOLN AVE 
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    City                 |    LAKEVIEW
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    State                |    MI
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    Zip                  |    48850
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    Country              |    US
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    Telephone            |    989-352-7294
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    Fax                  |    989-352-8348
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Provider Business Mailing Address
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    Address Line         |    10985 N LAKEVIEW RD 
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    City                 |    LAKEVIEW
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    State                |    MI
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    Zip                  |    48852
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    Country              |    US
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    Telephone            |    989-352-7463
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    Fax                  |    
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    9226
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    License Number State |    MI
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