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General NPI Number Information
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NPI Number | 1659593036
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Entity Type | Organization
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Legal Business Name | ABIR FARAJ DDS PC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 23985 NOVI RD STE B103
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City | NOVI
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State | MI
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Zip | 48375-5436
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Country | US
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Telephone | 248-348-5151
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Fax | 248-348-5195
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Provider Business Mailing Address
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Address Line | 23975 NOVI RD STE A102
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City | NOVI
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State | MI
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Zip | 48375-2459
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Country | US
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Telephone | 248-348-5151
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Fax | 248-348-5195
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Authorized Official
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Title or Position | DENTIST
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Name | DR. ABIR FARAJ
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Credential | DDS
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Telephone | 248-348-5151
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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 | 2901019002
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License Number State | MI
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