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General NPI Number Information
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NPI Number | 1689807133
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Entity Type | Organization
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Legal Business Name | FLINT FAMILY DENTISTRY
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Dates
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Enumeration Date | 09/01/2009
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Last Update Date | 09/01/2009
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Provider Practice Location Address
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Address Line | G3500 FLUSHING RD
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City | FLINT
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State | MI
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Zip | 48504-4235
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Country | US
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Telephone | 810-720-0611
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Fax | 810-720-0613
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Provider Business Mailing Address
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Address Line | G3500 FLUSHING RD
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City | FLINT
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State | MI
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Zip | 48504-4235
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Country | US
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Telephone | 810-720-0611
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Fax |
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Authorized Official
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Title or Position | DENTIST OWNER
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Name | MR. SADEER DAOOD
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Credential | DDS
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Telephone | 810-720-0611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901019131
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License Number State | MI
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