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General NPI Number Information
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NPI Number | 1003403890
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Entity Type | Organization
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Legal Business Name | AMANDA REMER-CHANG, DDS, PLLC
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 201 E MAIN ST STE B
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City | NORTHVILLE
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State | MI
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Zip | 48167-2679
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Country | US
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Telephone | 248-348-6780
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 FERRIS ST
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City | BERKLEY
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State | MI
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Zip | 48072-2167
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Country | US
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Telephone | 248-417-2870
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Fax |
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Authorized Official
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Title or Position | CEO/DENTIST
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Name | DR. AMANDA HILARY REMER-CHANG
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Credential | DDS
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Telephone | 248-417-2870
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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 |
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License Number State |
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