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General NPI Number Information
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NPI Number | 1982779567
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Entity Type | Organization
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Legal Business Name | JAMES E FROUNFELTER DDS PC
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 125 N PANSY STREET
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City | ISHPEMING
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State | MI
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Zip | 49849-3015
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Country | US
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Telephone | 906-485-5575
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Fax | 906-485-1260
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Provider Business Mailing Address
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Address Line | 125 N PANSY STREET
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City | ISHPEMING
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State | MI
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Zip | 49849-3015
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Country | US
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Telephone | 906-485-5575
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Fax | 906-485-1260
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Authorized Official
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Title or Position | OWNER
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Name | JAMES EDWARD FROUNFELTER
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Credential | DDS
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Telephone | 906-485-5575
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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 | 2901010669
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License Number State | MI
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