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General NPI Number Information
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NPI Number | 1043161722
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Entity Type | Individual
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Provider Name | HAYDAR AL-SADKHAN
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Gender | Male
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Dates
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Enumeration Date | 02/07/2026
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Last Update Date | 02/07/2026
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Provider Practice Location Address
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Address Line | 5450 FORT ST
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City | TRENTON
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State | MI
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Zip | 48183-4601
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Country | US
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Telephone | 734-671-3800
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Fax |
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Provider Business Mailing Address
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Address Line | 6268 WHITEFIELD ST
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City | DEARBORN HEIGHTS
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State | MI
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Zip | 48127-3013
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Country | US
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Telephone | 313-717-8859
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 4301082711
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License Number State | MI
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