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General NPI Number Information
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NPI Number | 1932013612
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Entity Type | Individual
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Provider Name | ADEELA REHMAN
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Gender | Female
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 21761 RYAN RD
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City | WARREN
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State | MI
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Zip | 48091-2353
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Country | US
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Telephone | 248-274-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 21621 GREATER MACK AVE APT 2C
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City | SAINT CLAIR SHORES
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State | MI
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Zip | 48080-2402
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2901603096
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License Number State | MI
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