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General NPI Number Information
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NPI Number | 1063894558
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Entity Type | Individual
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Provider Name | AMANDA AKASHEH D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 740 EMERICK ST
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City | YPSILANTI
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State | MI
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Zip | 48198-6340
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Country | US
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Telephone | 734-482-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 37696 JOANNE DR
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-2137
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Country | US
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Telephone | 586-838-7188
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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 | 2901021580
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License Number State | MI
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