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General NPI Number Information
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NPI Number | 1881821585
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Entity Type | Individual
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Provider Name | MICHAEL S DENT M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 7910 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2041
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Country | US
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Telephone | 317-516-5000
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Fax | 317-516-5011
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Provider Business Mailing Address
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Address Line | 7910 N SHADELAND AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-2041
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Country | US
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Telephone | 317-516-5000
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Fax | 317-516-5011
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | ME 129457
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number | 01083501A
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License Number State | IN
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