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General NPI Number Information
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NPI Number | 1396462008
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Entity Type | Organization
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Legal Business Name | NOBLE CARE DENTAL GROUP PC
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | 2970 CROOKS RD STE B
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3674
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Country | US
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Telephone | 248-237-0171
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Fax | 248-237-0194
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Provider Business Mailing Address
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Address Line | 2970 CROOKS RD STE B
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3674
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Country | US
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Telephone | 248-237-0171
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Fax | 248-237-0194
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Authorized Official
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Title or Position | OWNER
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Name | RAYA FLAYEH
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Credential | DENTIST
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Telephone | 248-237-0171
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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