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General NPI Number Information
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NPI Number | 1073479945
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY & COSMETIC CENTER OF BLOOMFIELD HILLS PLLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 39533 WOODWARD AVE STE 155
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5188
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Country | US
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Telephone | 833-322-3376
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Fax |
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Provider Business Mailing Address
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Address Line | 39533 WOODWARD AVE STE 155
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City | BLOOMFIELD HILLS
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State | MI
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Zip | 48304-5188
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WASIM NASIR
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Credential | MD
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Telephone | 248-703-8173
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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