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General NPI Number Information
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NPI Number | 1689590374
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Entity Type | Individual
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Provider Name | JOSEPH-AYAD LAYTH KACHACHI DDS
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Gender | Male
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 13003 ROACHTON RD
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City | PERRYSBURG
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State | OH
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Zip | 43551-1357
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Country | US
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Telephone | 419-874-7071
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Fax |
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Provider Business Mailing Address
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Address Line | 49657 WHITEHALL
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48317-6329
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Country | US
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Telephone | 586-522-9191
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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 | 30.028578
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30.028578
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License Number State | OH
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