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General NPI Number Information
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NPI Number | 1952378358
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Entity Type | Individual
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Provider Name | PAMELA L DASHER MD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 45211 CHERRY HILL RD
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City | CANTON
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State | MI
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Zip | 48188-1001
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Country | US
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Telephone | 313-623-4741
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Fax | 734-769-0045
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Provider Business Mailing Address
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Address Line | 50769 SNOWMASS CT
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City | CANTON
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State | MI
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Zip | 48187-7716
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Country | US
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Telephone | 313-623-4741
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Fax | 734-769-0045
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301080058
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License Number State | MI
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