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General NPI Number Information
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NPI Number | 1316438666
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Entity Type | Individual
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Provider Name | RAMMIZ J KHOURY D.M.D
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Gender | Male
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 6203 MILLER RD STE A
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-1597
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Country | US
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Telephone | 810-635-8446
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Fax |
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Provider Business Mailing Address
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Address Line | 38117 LORDSTOWN DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48312-1641
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Country | US
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Telephone | 615-569-8900
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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 | 2901600232
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License Number State | MI
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