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General NPI Number Information
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NPI Number | 1003181363
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Entity Type | Organization
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Legal Business Name | ARK HEALTH LLC
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Dates
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Enumeration Date | 03/19/2012
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Last Update Date | 03/19/2012
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Provider Practice Location Address
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Address Line | 23999 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2578
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Country | US
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Telephone | 248-924-1429
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Fax | 248-419-2431
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Provider Business Mailing Address
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Address Line | 23999 NORTHWESTERN HWY
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City | SOUTHFIELD
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State | MI
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Zip | 48075-2578
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Country | US
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Telephone | 248-924-1429
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Fax | 248-419-2431
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | DR. HAMID SATTAR
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Credential | M.D.
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Telephone | 248-924-1429
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 4301076348
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License Number State | MI
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