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General NPI Number Information
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NPI Number | 1891315941
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Entity Type | Individual
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Provider Name | AUSTIN JOHN GETZ DDS
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Gender | Male
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Dates
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Enumeration Date | 04/19/2020
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 4880 CASCADE RD SE STE B
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-3701
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Country | US
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Telephone | 616-834-2163
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Fax |
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Provider Business Mailing Address
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Address Line | 4519 ORCHARD CREEK DR SE
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City | GRAND RAPIDS
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State | MI
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Zip | 49546-8242
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Country | US
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Telephone | 161-683-4216
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901600499
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901600499APP20
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License Number State | MI
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