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General NPI Number Information
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NPI Number | 1568711869
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Entity Type | Individual
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Provider Name | AYESHA SALUJA DDS MS
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Gender | Female
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Dates
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Enumeration Date | 08/31/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 28609 HOOVER RD
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City | WARREN
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State | MI
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Zip | 48093-4105
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Country | US
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Telephone | 586-751-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 937 TEN POINT DR
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-2586
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Country | US
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Telephone | 248-882-8650
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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 | 0000511
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License Number State | CO
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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 | 2901021118
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License Number State | MI
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