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General NPI Number Information
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NPI Number | 1023747599
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Entity Type | Individual
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Provider Name | NEAM ASAAD DMD
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 18181 W 12 MILE RD
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-2666
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Country | US
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Telephone | 248-849-9310
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Fax |
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Provider Business Mailing Address
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Address Line | 2853 GREENLAWN AVE
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City | COMMERCE TOWNSHIP
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State | MI
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Zip | 48382-3543
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Country | US
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Telephone | 248-933-8817
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901601357
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License Number State | MI
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