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General NPI Number Information
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NPI Number | 1851959241
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Entity Type | Individual
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Provider Name | CATHERINE HAVILAND DDS, MD
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Gender | Female
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Dates
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Enumeration Date | 05/31/2019
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 25000 JOSEPH
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City | NOVI
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State | MI
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Zip | 48375-5709
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Country | US
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Telephone | 919-923-7240
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Fax |
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Provider Business Mailing Address
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Address Line | 15441 WARWICK ST
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City | DETROIT
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State | MI
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Zip | 48223-1722
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Country | US
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Telephone | 919-923-7240
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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 | 2901600828
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5315206395
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 4301514879
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License Number State | MI
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