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General NPI Number Information
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NPI Number | 1760701262
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Entity Type | Organization
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Legal Business Name | CITY OF DETROIT
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Dates
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Enumeration Date | 05/24/2010
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Last Update Date | 06/08/2017
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Provider Practice Location Address
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Address Line | 1151 TAYLOR ST 323 C
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-876-4307
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Fax | 313-876-0475
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Provider Business Mailing Address
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Address Line | 1151 TAYLOR ST 323 C
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City | DETROIT
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State | MI
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Zip | 48202-1732
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Country | US
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Telephone | 313-876-4307
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Fax | 313-876-0475
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Authorized Official
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Title or Position | GENERAL MANAGER, COMMUNITY HEALTH
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Name | KANZONI ASABIGI
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Credential |
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Telephone | 313-876-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number |
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License Number State |
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