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General NPI Number Information
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NPI Number | 1558932178
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Entity Type | Individual
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Provider Name | CHELSEA TREMONTI DDS
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 07/06/2021
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Provider Practice Location Address
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Address Line | 40105 GRAND RIVER AVE
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City | NOVI
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State | MI
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Zip | 48375-2170
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Country | US
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Telephone | 248-471-0345
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Fax |
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Provider Business Mailing Address
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Address Line | 1641 SEVERN RD
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City | GROSSE POINTE WOODS
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State | MI
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Zip | 48236-1944
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Country | US
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Telephone | 313-452-5883
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Fax |
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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 | 2901600932
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License Number State | MI
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