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General NPI Number Information
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NPI Number | 1366970063
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Entity Type | Individual
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Provider Name | RAMI NAZARIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 05/25/2017
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Last Update Date | 07/21/2020
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Provider Practice Location Address
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Address Line | G3535 BEECHER RD STE J
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City | FLINT
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State | MI
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Zip | 48532-2700
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Country | US
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Telephone | 810-230-7483
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Fax | 810-230-2660
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Provider Business Mailing Address
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Address Line | G3535 BEECHER RD STE J
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City | FLINT
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State | MI
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Zip | 48532-2700
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Country | US
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Telephone | 810-230-7483
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Fax | 810-230-2660
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901022259
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License Number State | MI
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