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General NPI Number Information
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NPI Number | 1053802629
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Entity Type | Individual
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Provider Name | HUSSEIN DAHER DDS
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Gender | Male
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Dates
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Enumeration Date | 05/19/2018
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Last Update Date | 05/19/2018
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Provider Practice Location Address
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Address Line | 6061 W VERNOR HWY STE 1
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City | DETROIT
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State | MI
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Zip | 48209-2085
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Country | US
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Telephone | 313-841-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 26318 SIMS ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-4123
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Country | US
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Telephone | 313-443-9737
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901022598
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License Number State | MI
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