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General NPI Number Information
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NPI Number | 1538293113
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Entity Type | Individual
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Provider Name | ANNE B BIBIK DDS
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Gender | Female
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 05/21/2014
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Provider Practice Location Address
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Address Line | 406 N ASHLEY ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-3308
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Country | US
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Telephone | 734-998-9640
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Fax | 734-998-9647
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Provider Business Mailing Address
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Address Line | 406 N ASHLEY ST
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City | ANN ARBOR
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State | MI
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Zip | 48103-3308
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Country | US
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Telephone | 734-998-9640
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Fax | 734-998-9647
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901015511
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901015511
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License Number State | MI
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