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General NPI Number Information
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NPI Number | 1922293851
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Entity Type | Organization
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Legal Business Name | JAMES C. PAPP, DMD, PLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 09/13/2007
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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 | 616-940-2854
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Fax |
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Provider Business Mailing 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 | 616-940-2854
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Fax |
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Authorized Official
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Title or Position | OFFICE PERSONEL
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Name | MS. PEGGY MCCALL
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Credential |
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Telephone | 616-940-2854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 2901016791
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License Number State | MI
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