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General NPI Number Information
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NPI Number | 1407728728
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Entity Type | Organization
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Legal Business Name | ADVANCED INTEGRATED MANAGEMENT TWO
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 5805 24 MILE RD STE C
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-3281
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Country | US
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Telephone | 586-786-6060
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Fax | 586-786-1570
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Provider Business Mailing Address
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Address Line | 5805 24 MILE RD STE C
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316-3281
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Country | US
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Telephone | 586-786-6060
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Fax | 586-786-1570
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | TIMOTHY RONEY
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Credential | DDS
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Telephone | 586-899-3998
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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 |
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License Number State |
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