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General NPI Number Information
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NPI Number | 1972683506
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Entity Type | Individual
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Provider Name | REEMA MOHAMMAD-HASHIM BUDAYR DDS
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 03/30/2017
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Provider Practice Location Address
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Address Line | 8127 GRAND RIVER RD
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City | BRIGHTON
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State | MI
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Zip | 48114-9375
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Country | US
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Telephone | 734-999-6840
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Fax |
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Provider Business Mailing Address
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Address Line | 45620 ELMWOOD CIR
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City | CANTON
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State | MI
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Zip | 48188-2462
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Country | US
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Telephone | 734-999-6840
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2901017301
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License Number State | MI
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