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General NPI Number Information
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NPI Number | 1659415511
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Entity Type | Individual
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Provider Name | SELIMA HADAD DDS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 19636 ALLEN RD
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City | BROWNSTOWN TWP
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State | MI
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Zip | 48183-1022
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Country | US
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Telephone | 734-479-4600
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Fax | 734-479-4603
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Provider Business Mailing Address
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Address Line | 9929 HAWTHORNE GLEN DR
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City | GROSSE ILE
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State | MI
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Zip | 48138-2117
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Country | US
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Telephone | 734-674-3484
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Fax | 734-675-4266
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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 | 16922
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License Number State | MI
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