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General NPI Number Information
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NPI Number | 1619411907
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Entity Type | Organization
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Legal Business Name | SAI FAMILY DENTISTRY, PC
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Dates
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Enumeration Date | 12/06/2016
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Last Update Date | 12/06/2016
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Provider Practice Location Address
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Address Line | 1035 S MERRIMAN RD
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City | WESTLAND
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State | MI
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Zip | 48186-5311
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Country | US
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Telephone | 734-326-2200
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Fax | 734-728-3030
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Provider Business Mailing Address
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Address Line | 1035 S MERRIMAN RD
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City | WESTLAND
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State | MI
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Zip | 48186-5311
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Country | US
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Telephone | 734-326-2200
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Fax | 734-728-3030
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Authorized Official
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Title or Position | OWNER
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Name | DR. SUNILA PATEL SHANKAR
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Credential | D.M.D.
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Telephone | 734-326-2200
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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 | 18700
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License Number State | MI
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