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General NPI Number Information
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NPI Number | 1386215424
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Entity Type | Individual
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Provider Name | SULEMAN ZAREEF ISMAIL DMD
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Gender | Male
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Dates
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Enumeration Date | 07/09/2021
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 1601 N CLINTON ST STE A
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City | DEFIANCE
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State | OH
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Zip | 43512-8551
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Country | US
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Telephone | 419-789-4112
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 N CLINTON ST STE A
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City | DEFIANCE
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State | OH
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Zip | 43512-8551
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Country | US
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Telephone | 248-798-0342
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901602398
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DN25996
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 30.026593
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License Number State | OH
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