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General NPI Number Information
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NPI Number | 1578134284
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Entity Type | Individual
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Provider Name | BILAL MOHAMMED ZAHOOR DDS
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Gender | Male
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Dates
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Enumeration Date | 07/03/2021
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Last Update Date | 01/06/2022
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Provider Practice Location Address
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Address Line | 28550 SOUTHFIELD RD
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City | LATHRUP VILLAGE
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State | MI
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Zip | 48076-2719
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Country | US
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Telephone | 248-557-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 24689 PICARA DR
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City | NOVI
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State | MI
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Zip | 48374-2976
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Country | US
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Telephone | 248-763-0457
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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 | 2901601058
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License Number State | MI
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