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General NPI Number Information
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NPI Number | 1255224911
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Entity Type | Organization
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Legal Business Name | HEALTH & SPIRIT LC
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Dates
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Enumeration Date | 06/02/2025
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 2581 NICHOLS CT
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City | WESTLAND
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State | MI
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Zip | 48186-9308
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Country | US
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Telephone | 757-977-2146
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Fax |
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Provider Business Mailing Address
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Address Line | 2581 NICHOLS CT
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City | WESTLAND
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State | MI
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Zip | 48186-9308
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Country | US
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Telephone | 757-977-2146
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Fax |
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Authorized Official
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Title or Position | REGISTERED DENTAL HYGIENIST
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Name | FATMA A ABOUBAKR
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Credential | RDH
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Telephone | 757-977-2146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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