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General NPI Number Information
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NPI Number | 1962108241
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Entity Type | Organization
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Legal Business Name | AMANDA AKASHEH DDS PLLC
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 02/07/2023
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Provider Practice Location Address
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Address Line | 740 EMERICK ST
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City | YPSILANTI
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State | MI
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Zip | 48198-6340
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Country | US
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Telephone | 734-482-8671
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Fax |
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Provider Business Mailing Address
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Address Line | 5592 ARBOR CHASE DR
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City | ANN ARBOR
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State | MI
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Zip | 48103-3516
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Country | US
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Telephone | 586-838-7188
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Fax | 586-838-7188
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Authorized Official
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Title or Position | OWNER
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Name | DR. AMANDA AKASHEH
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Credential | DDS
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Telephone | 586-838-7188
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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 |
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License Number State |
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