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General NPI Number Information
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NPI Number | 1497123434
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Entity Type | Organization
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Legal Business Name | SUE CABADAS, DDS PLLC
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Dates
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Enumeration Date | 09/08/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 8048 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-1706
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Country | US
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Telephone | 313-382-8893
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Fax | 313-928-3209
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Provider Business Mailing Address
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Address Line | 8048 ALLEN RD
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City | ALLEN PARK
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State | MI
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Zip | 48101-1706
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Country | US
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Telephone | 313-382-8893
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Fax | 313-928-3209
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Authorized Official
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Title or Position | DENTIST
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Name | DR. SUE CABADAS
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Credential | DDS
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Telephone | 313-382-8893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17491
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License Number State | MI
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