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General NPI Number Information
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NPI Number | 1518827062
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Entity Type | Organization
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Legal Business Name | DAMIEN BIZEAU LLC
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Dates
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Enumeration Date | 11/17/2025
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 3060 PACKARD ST STE C
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City | ANN ARBOR
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State | MI
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Zip | 48108-1944
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Country | US
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Telephone | 734-526-0101
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Fax |
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Provider Business Mailing Address
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Address Line | 47382 FAIRLAWN CT
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City | CANTON
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State | MI
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Zip | 48188-2394
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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 | DENTIST
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Name | DAMIEN BIZEAU
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Credential | DDS
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Telephone | 573-368-9878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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