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General NPI Number Information
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NPI Number | 1013086057
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Entity Type | Organization
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Legal Business Name | MUAIAD SHIHADEH MD PC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 04/16/2013
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Provider Practice Location Address
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Address Line | 2236 PACKARD RD
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-434-8900
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Fax |
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Provider Business Mailing Address
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Address Line | 2236 PACKARD RD
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City | YPSILANTI
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State | MI
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Zip | 48197
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Country | US
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Telephone | 734-459-7444
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. MUAIAD SHIHADEH
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Credential | M.D
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Telephone | 734-434-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number |
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License Number State |
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