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General NPI Number Information
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NPI Number | 1427592336
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Entity Type | Organization
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Legal Business Name | COMMUNITY DENTAL CARE P.C.
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Dates
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Enumeration Date | 12/12/2016
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Last Update Date | 12/12/2016
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Provider Practice Location Address
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Address Line | 15275 E 13 MILE RD
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City | FRASER
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State | MI
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Zip | 48026-2711
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Country | US
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Telephone | 586-296-8505
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Fax | 586-296-8520
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Provider Business Mailing Address
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Address Line | 15275 E 13 MILE RD
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City | FRASER
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State | MI
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Zip | 48026-2711
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Country | US
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Telephone | 586-296-8505
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Fax | 586-296-8520
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Authorized Official
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Title or Position | OFFICER
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Name | DR. SABRI K. AKASH
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Credential | DDS
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Telephone | 586-296-8505
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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 | 2901015246
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License Number State | MI
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