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General NPI Number Information
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NPI Number | 1346761368
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Entity Type | Individual
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Provider Name | ALI ZEITOUN DDS
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Gender | Male
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Dates
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Enumeration Date | 06/29/2017
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Last Update Date | 06/22/2022
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Provider Practice Location Address
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Address Line | 16201 FORD RD
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City | DEARBORN
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State | MI
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Zip | 48126
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Country | US
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Telephone | 313-451-8304
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Fax |
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Provider Business Mailing Address
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Address Line | 16201 FORD RD
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City | DEARBORN
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State | MI
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Zip | 48126-2945
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Country | US
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Telephone | 313-451-8304
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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 | 2901022360
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | S3-358
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License Number State | NV
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