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NPI 1104230705

NPI 1104230705 : TAISEER SULAIMAN BDS : CHAPEL HILL, NC

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General NPI Number Information
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    NPI Number           |    1104230705
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    Entity Type          |    Individual 
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    Provider Name        |    TAISEER SULAIMAN BDS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/12/2014
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    Last Update Date     |    06/12/2014
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Provider Practice Location Address
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    Address Line         |    5405F KOURY ORAL HEALTH SCIENCE BUILDING 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27599-0001
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    Country              |    US
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    Telephone            |    919-537-3161
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5405F KOURY ORAL HEALTH SCIENCE BUILDING 
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    City                 |    CHAPEL HILL
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    State                |    NC
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    Zip                  |    27599-0001
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    Country              |    US
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    Telephone            |    919-537-3161
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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       |    0134
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    License Number State |    NC
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