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General NPI Number Information
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NPI Number | 1144133141
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Entity Type | Individual
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Provider Name | SAMER JASSAR DDS
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Gender | Male
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 1344 ESSEX COUNTY RD 22 UNIT 2
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City | BELLE RIVER
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State | ONTARIO
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Zip | N8L0H6
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Country | CA
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Telephone |
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Fax |
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Provider Business Mailing Address
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Address Line | 2326 ST. CLAIR AVE
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City | WINDSOR
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State | ONTARIO
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Zip | N9E4S7
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Country | CA
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Telephone |
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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 | 2901600612
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License Number State | MI
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