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General NPI Number Information
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NPI Number | 1972834570
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Entity Type | Organization
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Legal Business Name | BAN R BARBAT DDS
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Dates
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Enumeration Date | 01/21/2010
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 6044 24 MILE ROAD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316
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Country | US
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Telephone | 586-551-7255
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Fax | 586-739-2357
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Provider Business Mailing Address
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Address Line | 6044 24 MILE ROAD
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City | SHELBY TOWNSHIP
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State | MI
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Zip | 48316
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Country | US
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Telephone | 586-739-2155
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Fax | 586-739-2357
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | BAN BARBAT
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Credential | DDS
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Telephone | 586-739-2155
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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 | 2901016308
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License Number State | MI
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