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General NPI Number Information
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NPI Number | 1083244370
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Entity Type | Individual
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Provider Name | FATHI ABDULLAH
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Gender | Male
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Dates
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Enumeration Date | 01/25/2020
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Last Update Date | 01/25/2020
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Provider Practice Location Address
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Address Line | 7291 N MIDDLEBELT RD
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City | WESTLAND
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State | MI
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Zip | 48185-2501
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Country | US
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Telephone | 734-522-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 6910 REUTER ST
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City | DEARBORN
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State | MI
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Zip | 48126-4501
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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 |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302040977
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License Number State | MI
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