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General NPI Number Information
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NPI Number | 1093959454
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Entity Type | Individual
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Provider Name | ACHIR AHMAD ALALAMI M.D
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Gender | Male
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Dates
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Enumeration Date | 04/28/2009
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Last Update Date | 04/28/2009
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Provider Practice Location Address
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Address Line | 2404 DORCHESTER DR N APT 103
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City | TROY
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State | MI
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Zip | 48084-3742
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Country | US
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Telephone | 248-275-6281
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Fax |
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Provider Business Mailing Address
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Address Line | 2404 DORCHESTER DR N APT 103
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City | TROY
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State | MI
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Zip | 48084-3742
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Country | US
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Telephone | 248-275-6281
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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 | 207LP3000X
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Taxonomy Name | Pediatric Anesthesiology Physician
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License Number | 4301091786
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License Number State | MI
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