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General NPI Number Information
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NPI Number | 1497806723
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Entity Type | Individual
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Provider Name | NIMRAT DHILLON DDS
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Gender | Female
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Dates
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Enumeration Date | 01/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 25721 GODDARD RD
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City | TAYLOR
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State | MI
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Zip | 48180-3974
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Country | US
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Telephone | 734-946-7700
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Fax | 734-946-4808
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Provider Business Mailing Address
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Address Line | 45728 LARCHMONT DR
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City | CANTON
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State | MI
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Zip | 48187-4717
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Country | US
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Telephone | 734-254-0185
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Fax | 734-946-4808
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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 | 16794
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License Number State | MI
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