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General NPI Number Information
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NPI Number | 1578144770
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Entity Type | Individual
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Provider Name | MUSAWIR YASIN DDS
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Gender | Male
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Dates
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Enumeration Date | 04/19/2021
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 2700 MARTIN LUTHER KING JR BLVD
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City | DETROIT
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State | MI
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Zip | 48208-2576
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Country | US
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Telephone | 313-494-6700
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Fax |
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Provider Business Mailing Address
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Address Line | 128 QUIET RD
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City | SICKLERVILLE
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State | NJ
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Zip | 08081-5624
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Country | US
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Telephone | 732-986-6399
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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 | 22DI02901000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 2901602762
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License Number State | MI
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