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General NPI Number Information
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NPI Number | 1508679549
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Entity Type | Organization
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Legal Business Name | KHALIL ABDUL ABDALLAH PLLC
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 01/31/2025
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Provider Practice Location Address
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Address Line | 37020 GARFIELD RD STE T-4
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-3645
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Country | US
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Telephone | 586-263-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 37020 GARFIELD RD STE T-4
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City | CLINTON TOWNSHIP
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State | MI
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Zip | 48036-3645
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Country | US
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Telephone | 586-263-4060
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KHALIL ABDUL ABDALLAH
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Credential | DDS
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Telephone | 313-354-4419
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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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