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General NPI Number Information
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NPI Number | 1073628566
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Entity Type | Organization
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Legal Business Name | BISHR UJAYLI MD PC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | 1349 S. ROCHESTER ROAD SUITE 115
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3817
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Country | US
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Telephone | 248-759-4852
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Fax | 248-299-9860
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Provider Business Mailing Address
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Address Line | 1349 S. ROCHESTER ROAD SUITE 115
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City | ROCHESTER HILLS
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State | MI
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Zip | 48307-3817
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Country | US
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Telephone | 248-759-4852
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Fax | 248-299-9860
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BISHR A. AL-UJAYLI
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Credential | M.D.
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Telephone | 248-759-4852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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