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General NPI Number Information
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NPI Number | 1760749592
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Entity Type | Individual
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Provider Name | NERMINE NADER SHEHATA DMD
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Gender | Female
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Dates
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Enumeration Date | 04/18/2012
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 573 W VIENNA ST
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City | CLIO
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State | MI
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Zip | 48420-5000
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Country | US
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Telephone | 810-686-5220
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Fax | 810-686-1620
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Provider Business Mailing Address
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Address Line | 573 W VIENNA ST
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City | CLIO
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State | MI
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Zip | 48420-5000
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Country | US
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Telephone | 810-686-5220
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Fax | 810-686-1620
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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 | 20767
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License Number State | MI
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