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General NPI Number Information
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NPI Number | 1013138049
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Entity Type | Organization
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Legal Business Name | ROBERT M RYBICKI DDS, PC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21580 NOVI RD STE 250
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City | NOVI
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State | MI
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Zip | 48375-5604
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Country | US
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Telephone | 248-735-8700
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Fax | 248-735-8733
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Provider Business Mailing Address
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Address Line | 21580 NOVI RD STE 250
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City | NOVI
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State | MI
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Zip | 48375-5604
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Country | US
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Telephone | 248-735-8700
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Fax | 248-735-8733
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT MICHAEL RYBICKI
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Credential | DDS, MS
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Telephone | 248-735-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 2901016148
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License Number State | MI
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