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General NPI Number Information
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NPI Number | 1891981262
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Entity Type | Organization
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Legal Business Name | DALIA MICHAEL DDS INC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 09/19/2007
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Provider Practice Location Address
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Address Line | 3820 WIBLE RD STE B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-6581
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Country | US
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Telephone | 805-217-8993
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Fax |
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Provider Business Mailing Address
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Address Line | 3820 WIBLE RD STE B
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City | BAKERSFIELD
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State | CA
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Zip | 93309-6581
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Country | US
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Telephone | 805-217-8993
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DALIA MICHAEL
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Credential | DDS
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Telephone | 805-217-8993
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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 | 44454
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License Number State | CA
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