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General NPI Number Information
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NPI Number | 1053681056
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Entity Type | Organization
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Legal Business Name | DRS VANKER AND SAAD PLLC
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Dates
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Enumeration Date | 01/06/2012
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Last Update Date | 01/06/2012
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Provider Practice Location Address
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Address Line | 837 FOREST AVE.
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6452
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Country | US
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Telephone | 248-646-3515
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Fax | 248-646-1952
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Provider Business Mailing Address
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Address Line | 837 FOREST AVE.
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City | BIRMINGHAM
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State | MI
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Zip | 48009-6452
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Country | US
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Telephone | 248-646-3515
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Fax | 248-646-1952
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Authorized Official
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Title or Position | OWNER
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Name | DAVID J VANKER
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Credential | DDS
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Telephone | 248-646-3515
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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 | 11406
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License Number State | MI
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