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General NPI Number Information
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NPI Number | 1710192562
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Entity Type | Individual
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Provider Name | MARC HENRY SALAH DDS
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Gender | Male
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 42180 FORD RD SUITE 301
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City | CANTON
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State | MI
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Zip | 48187-3673
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Country | US
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Telephone | 734-981-1199
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Fax | 734-981-1544
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Provider Business Mailing Address
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Address Line | 29080 FOREST HILL DR
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City | FARMINGTON HILLS
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State | MI
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Zip | 48331-2444
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Country | US
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Telephone | 248-417-9955
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Fax | 248-324-1701
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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 | 2901018508
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License Number State | MI
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