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General NPI Number Information
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NPI Number | 1780132092
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Entity Type | Organization
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Legal Business Name | Z DENTAL
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 32767 FRANKLIN RD
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City | FRANKLIN
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State | MI
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Zip | 48025-1134
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Country | US
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Telephone | 248-785-3426
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Fax |
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Provider Business Mailing Address
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Address Line | 32767 FRANKLIN RD
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City | FRANKLIN
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State | MI
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Zip | 48025-1134
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Country | US
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Telephone | 248-785-3426
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONALD DELAZNY
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Credential | DDS
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Telephone | 248-626-4232
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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 | 014759
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License Number State | MI
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