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General NPI Number Information
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NPI Number | 1972672764
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Entity Type | Individual
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Provider Name | MICHAEL REGAN DDS
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Gender | Male
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Dates
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Enumeration Date | 11/07/2006
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 345 COURTHOUSE DR
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City | HAYESVILLE
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State | NC
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Zip | 28904-0020
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Country | US
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Telephone | 828-389-8052
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Fax | 828-389-8533
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Provider Business Mailing Address
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Address Line | 345 COURTHOUSE DR
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City | HAYESVILLE
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State | NC
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Zip | 28904-0020
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Country | US
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Telephone | 828-389-8052
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Fax | 828-389-8533
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | 8074
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License Number State | NC
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