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General NPI Number Information
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NPI Number | 1962623488
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Entity Type | Organization
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Legal Business Name | ROBERT M DORAZIO DDS PC
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 1950 CHESLEY DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4817
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Country | US
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Telephone | 586-979-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 1950 CHESLEY DR
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City | STERLING HEIGHTS
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State | MI
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Zip | 48310-4817
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Country | US
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Telephone | 586-979-1900
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT MAXWELL D'ORAZIO
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Credential | D.D.S.
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Telephone | 586-979-1900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 139450
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License Number State | MI
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