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General NPI Number Information
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NPI Number | 1740492255
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Entity Type | Organization
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Legal Business Name | SUSAN H ABED DDS MS PC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 19727 ALLEN ROAD SUITE 22
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City | BROWNSTOWN
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State | MI
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Zip | 48183-1188
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Country | US
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Telephone | 734-479-9000
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Fax | 734-479-2744
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Provider Business Mailing Address
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Address Line | 19727 ALLEN ROAD SUITE 22
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City | BROWNSTOWN
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State | MI
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Zip | 48183-1188
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Country | US
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Telephone | 734-479-9000
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Fax | 734-479-2744
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SUSAN H. ABED
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Credential | DDS MS
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Telephone | 734-479-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 2901015308
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License Number State | MI
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