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General NPI Number Information
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NPI Number | 1568356061
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Entity Type | Individual
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Provider Name | ALIA REITANO DDS
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Gender | Female
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Dates
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Enumeration Date | 06/07/2025
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Last Update Date | 06/07/2025
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Provider Practice Location Address
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Address Line | 725 N MILFORD RD
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City | MILFORD
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State | MI
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Zip | 48381-1536
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Country | US
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Telephone | 248-685-8748
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Fax |
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Provider Business Mailing Address
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Address Line | 2101 ARBORVIEW BLVD
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City | ANN ARBOR
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State | MI
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Zip | 48103-3513
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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 |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901602524
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License Number State | MI
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