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General NPI Number Information
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NPI Number | 1912436908
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Entity Type | Individual
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Provider Name | DR. ALISON NICOLE TSENG
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Gender | Female
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Dates
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Enumeration Date | 06/05/2017
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 2301 PLATT RD STE 200
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City | ANN ARBOR
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State | MI
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Zip | 48104
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Country | US
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Telephone | 734-975-0500
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Fax |
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Provider Business Mailing Address
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Address Line | 4239 SURREY LN
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City | FORT GRATIOT
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State | MI
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Zip | 48059-4086
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Country | US
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Telephone |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901022309
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License Number State | MI
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