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General NPI Number Information
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NPI Number | 1497569834
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Entity Type | Individual
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Provider Name | NOURA AL-KUBAISI BDS,MS
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Gender | Female
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 43900 GARFIELD RD STE 229
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48038-1137
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Country | US
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Telephone | 586-263-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 4601 LARME AVE
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City | ALLEN PARK
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State | MI
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Zip | 48101-3108
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Country | US
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Telephone |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901602473APP25
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223P0700X
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Taxonomy Name | Prosthodontics
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License Number | 2901602473
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License Number State | MI
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