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General NPI Number Information
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NPI Number | 1568525848
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Entity Type | Individual
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Provider Name | ALEKSANDAR RISTOVSKI DDS
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Gender | Male
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Dates
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Enumeration Date | 12/18/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2483 S LINDEN RD
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City | FLINT
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State | MI
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Zip | 48532-5454
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Country | US
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Telephone | 810-733-7470
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Fax |
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Provider Business Mailing Address
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Address Line | 37235 CALKA DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-3504
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Country | US
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Telephone | 586-764-6014
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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 | 2901019209
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License Number State | MI
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