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General NPI Number Information
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NPI Number | 1932502812
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Entity Type | Organization
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Legal Business Name | ALPHA DENTAL CENTER OF FINDLAY, LLC
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Dates
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Enumeration Date | 10/06/2014
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Last Update Date | 10/06/2014
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Provider Practice Location Address
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Address Line | 719 TIFFIN AVE
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City | FINDLAY
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State | OH
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Zip | 45840-5763
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Country | US
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Telephone | 419-422-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 719 TIFFIN AVE
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City | FINDLAY
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State | OH
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Zip | 45840-5763
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Country | US
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Telephone | 419-422-3200
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. JOSEPH MICHELAKIS
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Credential | DDS
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Telephone | 419-422-3200
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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 | 30021841
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License Number State | OH
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