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General NPI Number Information
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NPI Number | 1538509286
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Entity Type | Organization
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Legal Business Name | STERLING HEIGHTS DENTAL CARE P.C.
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Dates
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Enumeration Date | 06/26/2013
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 41400 DEQUINDRE RD STE 103
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3763
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Country | US
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Telephone | 248-910-4819
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Fax |
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Provider Business Mailing Address
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Address Line | 41400 DEQUINDRE RD STE 103
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City | STERLING HEIGHTS
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State | MI
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Zip | 48314-3763
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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 | OFFICE MANAGE
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Name | SHAMS HAMAMA
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Credential |
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Telephone | 248-910-4819
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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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