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General NPI Number Information
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NPI Number | 1285820308
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Entity Type | Organization
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Legal Business Name | ALWAYS GENTLE DENTISTRY PLC
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Dates
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Enumeration Date | 09/21/2007
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Last Update Date | 09/21/2007
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Provider Practice Location Address
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Address Line | 28050 FORD RD STE D
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City | GARDEN CITY
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State | MI
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Zip | 48135-2967
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Country | US
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Telephone | 734-838-9780
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Fax |
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Provider Business Mailing Address
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Address Line | 28050 FORD RD STE D
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City | GARDEN CITY
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State | MI
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Zip | 48135-2967
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Country | US
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Telephone | 734-838-9780
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DELITHA TAYLOR
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Credential | D.D.S.
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Telephone | 734-721-5728
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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 |
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License Number State | MI
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