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NPI 1578279022

NPI 1578279022 : AIMEE B. CHISIK DDS, P.C. : HUNTINGTON WOODS, MI

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General NPI Number Information
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    NPI Number           |    1578279022
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    Entity Type          |    Organization 
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    Legal Business Name  |    AIMEE B. CHISIK DDS, P.C. 
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Dates
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    Enumeration Date     |    01/27/2023
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    Last Update Date     |    01/27/2023
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Provider Practice Location Address
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    Address Line         |    26711 WOODWARD AVE STE 105 
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    City                 |    HUNTINGTON WOODS
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    State                |    MI
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    Zip                  |    48070-1367
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    Country              |    US
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    Telephone            |    248-543-5535
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    Fax                  |    248-543-5535
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Provider Business Mailing Address
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    Address Line         |    27887 FAIRWAY HILLS DR 
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    City                 |    FRANKLIN
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    State                |    MI
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    Zip                  |    48025-1734
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    Country              |    US
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    Telephone            |    248-390-0684
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DOCTOR
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    Name                 |    DR. AIMEE BETH CHISIK 
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    Credential           |    DDS
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    Telephone            |    248-390-0684
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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       |    
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    License Number State |    
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