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General NPI Number Information
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NPI Number | 1356956577
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Entity Type | Organization
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Legal Business Name | TRESSA A PRIEHS DDS PC
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Dates
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Enumeration Date | 09/14/2020
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 43410 W 10 MILE RD
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City | NOVI
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State | MI
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Zip | 48375-3172
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Country | US
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Telephone | 248-348-3100
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Fax | 248-348-3252
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Provider Business Mailing Address
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Address Line | 43410 W 10 MILE RD
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City | NOVI
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State | MI
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Zip | 48375-3172
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Country | US
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Telephone | 248-348-3100
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Fax | 248-348-3252
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. JESSICA R HALLFORD
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Credential |
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Telephone | 248-348-3100
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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 |
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License Number State |
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