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General NPI Number Information
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NPI Number | 1952269946
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Entity Type | Organization
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Legal Business Name | BEYOND ORTHODONTICS, PLLC
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Dates
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Enumeration Date | 01/10/2026
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 33200 W 14 MILE RD STE 100
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3570
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Country | US
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Telephone | 248-702-5232
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Fax | 248-702-5214
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Provider Business Mailing Address
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Address Line | 33200 W 14 MILE RD STE 100
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-3570
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Country | US
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Telephone | 248-702-5232
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Fax | 248-702-5214
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | ANGELIQUE THOMAS
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Credential | DDS
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Telephone | 248-320-1701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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