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General NPI Number Information
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NPI Number | 1124718424
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Entity Type | Individual
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Provider Name | ZARINA SULEYMONOVNA AKHMEDOVA DDS
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Gender | Female
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Dates
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Enumeration Date | 05/10/2023
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Last Update Date | 08/21/2023
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Provider Practice Location Address
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Address Line | 5139 W SAGINAW HWY
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City | LANSING
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State | MI
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Zip | 48917-2635
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Country | US
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Telephone | 517-318-2657
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Fax |
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Provider Business Mailing Address
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Address Line | 6181 WHITEHILLS LAKE DR
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City | EAST LANSING
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State | MI
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Zip | 48823-9484
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Country | US
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Telephone | 517-763-6971
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901601849
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License Number State | MI
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