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General NPI Number Information
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NPI Number | 1780502666
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Entity Type | Individual
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Provider Name | MICHELLE ELIZABETH MUKHTAR
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 20307 W 12 MILE RD STE 101
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City | SOUTHFIELD
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State | MI
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Zip | 48076-5407
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Country | US
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Telephone | 248-775-2358
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Fax |
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Provider Business Mailing Address
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Address Line | 140 CANTERBURY RD
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-2916
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Country | US
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Telephone | 248-762-9365
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 5315269040
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License Number State | MI
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