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General NPI Number Information
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NPI Number | 1073017075
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Entity Type | Individual
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Provider Name | HASSAN KASSEM MD, MBA
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Gender | Male
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 28545 ORCHARD LAKE RD UNIT 1
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City | FARMINGTON HILLS
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State | MI
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Zip | 48334-2996
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Country | US
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Telephone | 248-365-6064
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Fax | 248-516-3145
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Provider Business Mailing Address
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Address Line | 1331 MONROE ST
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City | DEARBORN
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State | MI
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Zip | 48124-2888
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Country | US
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Telephone | 313-278-2800
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Fax | 313-278-0030
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301505316
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License Number State | MI
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