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General NPI Number Information
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NPI Number | 1306648142
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Entity Type | Individual
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Provider Name | VIVIAN MUNIR BINYAMEEN
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Gender | Female
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 516 ROUTE 134
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City | SOUTH DENNIS
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State | MA
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Zip | 02660-3451
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Country | US
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Telephone | 508-778-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 50285 MURRAY DR
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City | MACOMB
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State | MI
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Zip | 48044-1338
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Country | US
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Telephone | 586-222-7194
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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 | DL100720
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License Number State | MA
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