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General NPI Number Information
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NPI Number | 1003051707
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Entity Type | Organization
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Legal Business Name | SADIQ INC
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 6812 PINE WAY DR
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City | TROY
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State | MI
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Zip | 48098-2094
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Country | US
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Telephone | 248-613-3110
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Fax | 248-879-0895
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Provider Business Mailing Address
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Address Line | 6812 PINE WAY DR
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City | TROY
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State | MI
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Zip | 48098-2094
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Country | US
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Telephone | 248-613-3110
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Fax | 248-879-0895
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Authorized Official
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Title or Position | CEO
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Name | MOHAMMED SADIQ
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Credential |
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Telephone | 248-613-3110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 5501003720
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License Number State | MI
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