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General NPI Number Information
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NPI Number | 1023181427
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Entity Type | Individual
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Provider Name | GUITY M RABBANI DDS MS
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Gender | Female
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Dates
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Enumeration Date | 11/16/2006
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Last Update Date | 07/27/2015
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Provider Practice Location Address
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Address Line | 3637 FIFTEEN MILE RD
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310
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Country | US
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Telephone | 586-979-8222
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Fax |
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Provider Business Mailing Address
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Address Line | 5008 CHAMPLAIN CIRCLE
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City | W BLOOMFIELD
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State | MI
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Zip | 48323
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Country | US
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Telephone | 586-979-8222
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Fax | 586-979-8410
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 013655
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 30260
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License Number State | CA
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